Dr. Larsson Gepford, DO
Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).
NPI number1104764240
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1104764240
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larsson Gepford
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2026
- Certification date
- Mar 22, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1015 Nw 22nd AvePortland, OR 97210-3025
Phone 503-413-7711 · Fax 503-413-6892
Mailing address
12801 Indian School Rd Ne Apt 1806Albuquerque, NM 87112-4776
Phone 360-903-9989 · Fax 503-413-6892
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