institution
Keith R Larson Dmd Pc
Customized Equipment (DME) in Beaverton, Oregon
NPI 1093185118

Keith R Larson Dmd Pc is a Customized Equipment (DME) based in Beaverton, OR and is specialized in Customized Equipment. Keith R Larson Dmd Pc practices in Beaverton, OR. The NPI Number for Keith R Larson Dmd Pc is 1093185118 and holds a License No. D4338 (Oregon).

The current practice location address for Keith R Larson Dmd Pc is 17895 Nw Evergreen Pkwy, Beaverton, OR and can be reached out via phone at 503-716-6712 and via fax at 503-536-6617.

Location: 17895 Nw Evergreen Pkwy, Beaverton, OR, 97006-7402
institution
Provider Profile Details
NPI Number
1093185118
Provider Name
Keith R Larson Dmd Pc
Credential
Provider Entity Type
Organization
Address
17895 Nw Evergreen Pkwy, Beaverton, OR, 97006-7402
Phone Number
503-716-6712
Fax Number
503-536-6617
Provider Enumeration Date
10/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17895 Nw Evergreen Pkwy
City
State
Zip
97006-7402
Phone Number
503-716-6712
Fax Number
503-536-6617
person
Provider Business Mailing Address Details
Address
17895 Nw Evergreen Pkwy
City
State
Zip
97006-7402
Phone Number
503-716-6712
Fax Number
503-536-6617
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
D4338 (Oregon)
Definition
Definition to come...
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