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

Kimberly D. Larson, WHCNP

Individual provider Women's Health Nurse Practitioner · NPI 1972545978

Kimberly D. Larson, WHCNP is a Nurse Practitioner in Medford, Oregon. Qualified in 2002, 24 years ago. Practices with Southern Oregon Gynecology LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
24
Licensed in
OR
In the registry since
2006

Practice location Address checks out

3170 State St
Medford, OR 97504-8450
Phone: (541) 864-8900
Fax: (541) 245-3315
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 200250159NP (OR)

Record details

NPI number1972545978
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHCNP
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESDecember 27, 2011
Mailing address128 E Nevada St, Ashland, OR 97520-1024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Southern Oregon Gynecology Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medford