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

Ilse A Larson, MD

Individual provider Pediatrics Physician · NPI 1700050333

Ilse A Larson, MD is a Pediatrics Physician in Portland, Oregon. Licensed in California and Oregon. Registered with an NPI since 2008.

Licensed in
CA, OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-6513
Fax: (503) 494-1542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A103087 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence MD167663 (OR)

Record details

NPI number1700050333
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2008
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020

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