Greta K Larson (NPI# 1619204583, PAC ID# 6608918255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1619204583 |
| PAC ID by PECOS | 6608918255 |
| Professional Enrollment ID | I20130909000232 |
| Full Name | Greta K Larson |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
440 Nw Division St Gresham OR 97030-5506 |
| Phone Number | 5032159500 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 440 Nw Division St, Gresham, OR 97030-5506 | 5032159500 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984 | 5032156405 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 5050 Ne Hoyt St, Portland, OR 97213-2984 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Amelia H Baker | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Street Address |
440 NW DIVISION ST |
| City | GRESHAM |
| State | OR |
| Zip | 97030-5506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Adams | Family Medicine | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Shane Reed Johnson | Physician Assistant | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Elizabeth J Stamper | Nurse Practitioner | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Ariela B Nielson | Registered Dietitian Or Nutrition Professional | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Carmela C Pajarillo | Family Medicine | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Sohil R Makwana | Internal Medicine | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Bridget C Martin | Family Medicine | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Kevin R Carpenter | Family Medicine | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Christopher Schraner | Registered Dietitian Or Nutrition Professional | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Rebecca J Youssef | Psychologist, Clinical | Providence Health and Services Oregon | 440 Nw Division St, Gresham, OR 97030-5506 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRESHAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Greta K Larson.
| 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.