MEDICARE: DR. DAVID ARNOLD LARSEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	23934361205	UT
2	208600000X	Surgery Physician	MD29363	OR

General Provider Information

NPI Number	:	1205015518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ARNOLD LARSEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 SW ABBEY ST STE A
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-4820
Country	:	US
Telephone Number	:	541-265-8816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	01/05/2026

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Directions to “ DR. DAVID ARNOLD LARSEN M.D.” Practice Location

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