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1114391851
MICHAEL LARSEN
EUGENE, OR
NPI
1114391851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR 174949)
Enumeration Date
2015-11-18
Last Update Date
2021-12-28
Business Address
MICHAEL LARSEN PA
55 COBURG RD
EUGENE, OR 97401-2433
Phone number: 541-485-8111
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Mailing Address
MICHAEL LARSEN PA
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2099
Phone number: 541-566-4500
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