Tisha Marie Larsen

  • NPI 1578954855
According to our database, the NPI number for Tisha Marie Larsen is 1578954855 and activated since 9 years ago. Tisha Marie Larsen is an individual provider who specializes in Family, and the primary practice location is 621 W Madrone St, Roseburg, OR 97470. You can also contact Tisha Marie Larsen via telephone number is (541) 440-3500. Provider NPI information was last updated on 06/14/2021.

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Overview of Tisha Marie Larsen

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/09/2015
  • Last updated: 06/14/2021

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 201500780NP-PP
  • License State: OR

Provider Mailing Address

  • Address: Po Box 1121
    Roseburg, OR 97470
  • Phone: 541-672-2691
  • Fax:

Provider Practice Location

  • Address: 621 W Madrone St
    Roseburg, OR 97470
  • Phone: 541-440-3500
  • Fax: 541-957-3003

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 201500780N
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 165772
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Tisha Marie Larsen?
  • A: The npi number for Tisha Marie Larsen is 1578954855.
  • Q: What are Tisha Marie Larsen's specialties?
  • A: Tisha Marie Larsen's specialties are Family and different specialities.
  • Q: What is the medical license for Tisha Marie Larsen?
  • A: The medical license number for Tisha Marie Larsen is 201500780NP-PP and issued in OR in USA.
  • Q: Where is Tisha Marie Larsen practice location?
  • A: Tisha Marie Larsen is practicing at 621 W Madrone St, Roseburg, OR 97470.
  • Q: How to contact Tisha Marie Larsen?
  • A: You can contact Tisha Marie Larsen via 541-440-3500.