Larry R Eidemiller, MD
Larry R Eidemiller, MD is a Surgery Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.
- Licensed in
- OR
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1130 NW 22nd Ave Ste 500Portland, OR 97210-2900
Phone: (503) 229-7339
Fax: (503) 229-7938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence MD07236 (OR) |
|---|
Record details
| NPI number | 1447287701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 26, 2006 |
| Last updated in NPPES | May 22, 2008 |
| Mailing address | 9155 Sw Barnes Rd, Suite 830, Portland, OR 97225-6625 |
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