Larson Dermatology, LLC
NPI 1679405195ActiveOrganization· Dermatology· Portland, OR
Dermatology in Portland, Oregon, registered in NPPES in June 2026. The authorized official on file is Krista N. Larson, MD, Owner/Dermatologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679405195 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2026 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | May 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
Other Dermatology providers in Portland
- 1801849849
- 1972004455
- 1902109887
- 1174697239
- 1376609875
- 1376571364
- 1679852396
- 1083714141
- 1891992624
- 1881097194
- 1700700424
- 1295836765