BRIAN C MARLIA-LARSEN (NPI# 1780013110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780013110 |
| Entity Type | Individual |
| Full Name | BRIAN C MARLIA-LARSEN |
| Credential | NP |
| Practice Address |
205 Fern Valley Rd Ste A Phoenix OR 97535-9100 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5415351274 |
| Practice Fax Number | 5415356973 |
| Mailing Telephone | 5415351274 |
| Mailing Fax Number | 5415356973 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201393788NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 FERN VALLEY RD STE A |
| City | PHOENIX |
| State | OR |
| Zip Code | 97535-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299393 | Paul George Jendre | Family Medicine | 205 Fern Valley Rd Ste A, Phoenix, OR 97535-9100 | 2005-07-18 |
| 1720219520 | Charisse Nisce Siapno | Internal Medicine | 205 Fern Valley Rd Ste A, Phoenix, OR 97535-9100 | 2009-07-28 |
| 1306920087 | Eric Seth Webb | Family Medicine | 205 Fern Valley Rd Ste A, Phoenix, OR 97535-9100 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318577 | Brent M Gordon | Counselor | 5505 S Pacific Hwy, Phoenix, OR 97535 | 2016-03-16 |
| 1740649821 | Elizabeth Van Driel | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2016-02-17 |
| 1740611458 | William Allen Haden Jr. | Social Worker | 106 N. Rose Street, Phoenix, OR 97535 | 2013-12-05 |
| 1528396470 | Sarah Bly | Midwife, Lay | 509 5th St., Phoenix, OR 97535 | 2009-12-03 |
| 1992961239 | Stephen J Brummett | Counselor | 482 Elm St, Phoenix, OR 97535 | 2008-08-06 |
| 1568680577 | Christine Carolyn Robinson | Chiropractor | 721 N. Main St., Space A, Phoenix, OR 97535 | 2007-04-23 |
| 1982729539 | Daniel Jansen | Counselor | 215 N Rose St, Phoenix, OR 97535 | 2007-03-20 |
| 1770196016 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 106 N. Rose Street, Phoenix, OR 97535 | 2020-08-26 |
| 1760972160 | Jennifer L Burke | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2018-05-11 |
| 1124552872 | Desiree Thompson | Counselor | 149 N Main St, Phoenix, OR 97535 | 2017-04-19 |
| Find all providers in zip 97535 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.