Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larson Dermatology, LLC

Organization Dermatology Physician · NPI 1679405195

Larson Dermatology, LLC is a Dermatology Physician in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone: (541) 919-2353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1679405195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Larson — Owner/Dermatologist · (541) 919-2353
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateMay 31, 2026
Mailing addressPo Box 86536, Portland, OR 97286-0536

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