NPI 1679405195
Larson Dermatology, LLC
Practice location
- Address
- 5441 S Macadam Ave STE R, Portland, OR 97239-3822
- Phone
- (541) 919-2353
- Mailing address
- PO Box 86536, Portland, OR 97286-0536
Authorised official
- Name
- Krista N Larson
- Title
- Owner/Dermatologist
- Phone
- (541) 919-2353
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1679405195
- Entity type
- Organization
- NPI issued
- 1 Jun 2026
- Record last updated
- 1 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.