Healthcare Provider Details

I. General information

NPI: 1831262823
Provider Name (Legal Business Name): ANTHONY E LARHS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 NE 104TH AVE STE 106
VANCOUVER WA
98664-4505
US

IV. Provider business mailing address

9370 SW GREENBURG RD. STE J
PORTLAND OR
97223-5442
US

V. Phone/Fax

Practice location:
  • Phone: 503-246-6666
  • Fax: 503-246-9465
Mailing address:
  • Phone: 503-246-6666
  • Fax: 503-246-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD163499
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD163499
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: