Dr. Amy Jeannette Larson
Emergency Physician Emergency Medical Services Internist - Cardiovascular Disease
2930 Bush Mountain Ct Sw
Tumwater
, Washington 98512-6731
Dr. Amy Jeannette Larson
Emergency Physician Emergency Medical Services Internist - Cardiovascular Disease
2930 Bush Mountain Ct Sw
Tumwater
, Washington 98512-6731
(425) 486-8868
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Amy Jeannette Larson
- 18702 N Creek Pkwy Suite 212
- Bothell, WA
- Zip : 98011-8019
- Phone : (425) 486-8868
Second Address
- Dr. Amy Jeannette Larson
- 2930 Bush Mountain Ct Sw
- Tumwater, WA
- Zip : 98512-6731
- Phone : (360) 352-7856
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FAQs
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Is Dr. Amy Jeannette Larson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | MD00039071 | WA |
| N | 207PE0004X | Emergency Medical Services | MD00039071 | WA |
| N | 207RC0000X | Internist - Cardiovascular Disease | MD00039071 | WA |
National Provider Identifier
| NPI | 1043356819 |
|---|---|
| Provider Name | Dr. Amy Jeannette Larson |
| First Address | Bothell, WA 98011-8019 |
| Second Address | Tumwater, WA 98512-6731 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 09/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.