George Martin Larson Jr.
TIMBER VALLEY MEDICAL CLINIC P C


Address: 21 Hayden Bridge Way, Springfield, OR 97477-1305
Phone: 5417411226

George Martin Larson Jr. (NPI# 1972677102, PAC ID# 5991838633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1972677102
PAC ID by PECOS 5991838633
Professional Enrollment ID I20100803000103
Full Name George Martin Larson Jr.
Organization Legal Name TIMBER VALLEY MEDICAL CLINIC P C
Address 21 Hayden Bridge Way
Springfield
OR 97477-1305
Phone Number 5417411226
Gender M
Medical School CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1971
Primary Specialty FAMILY PRACTICE
Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE
Group Practice PAC ID 2769455021
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380020 MCKENZIE-WILLAMETTE MEDICAL CENTER

Other Locations

Address Phone Organization
21 Hayden Bridge Way, Springfield, OR 97477-1305 5417411226 TIMBER VALLEY MEDICAL CLINIC P C

Organization Information

Organization Legal Name TIMBER VALLEY MEDICAL CLINIC P C
Physicians 1

Office Location

Street Address 21 HAYDEN BRIDGE WAY
City SPRINGFIELD
State OR
Zip 97477-1305

Physicians in the same location

Name Specialty Organization Address
Alejandro E Colmenero Physician Assistant Springfield Family Physicians LLP 21 Hayden Bridge Way, Springfield, OR 97477-1305
Doherty B Gilchrist Internal Medicine Springfield Family Physicians LLP 21 Hayden Bridge Way, Springfield, OR 97477-1305
Jordan E Moon Physician Assistant Springfield Family Physicians LLP 21 Hayden Bridge Way, Springfield, OR 97477-1305

Physicians in the same zip code

Name Specialty Organization Address
Thomas P Trezona Surgical Oncology Cascade Surgical Oncology PC 3783 International Ct, Suite 200, Springfield, OR 97477-1025
Sydney Katherine Johnstone Physician Assistant Cascade Surgical Oncology PC 3783 International Ct, Suite 200, Springfield, OR 97477-1025
Jason R Oilar Optometry 3783 International Ct, Suite 160, Springfield, OR 97477-1025
Deven L Smith Pathology Pathology Consultants, PC 123 International Way, Springfield, OR 97477-1047
Lauren A Hammock Pathology Pathology Consultants, PC 123 International Way, Springfield, OR 97477-1047
Denis M Mccarthy Pathology Pathology Consultants, PC 123 International Way, Springfield, OR 97477-1047
John Paul Ditomasso Pathology Pathology Consultants, PC 123 International Way, Springfield, OR 97477-1047
David Scott Meyers Pathology Pathology Consultants, PC 123 International Way, Springfield, OR 97477-1047
Lamont A Wettstein Pathology Pathology Consultants, PC 123 International Way, Springfield, OR 97477-1047
Joe Robert Mcfarlane Pathology Pathology Consultants, PC 123 International Way, Springfield, OR 97477-1047
Find all physicians in zip 97477

Competitor

Search similar physicians

City SPRINGFIELD
Zip Code 97477
Specialty FAMILY PRACTICE
City + Specialty SPRINGFIELD + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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