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Contact Information

MARK T LARSON, MD
914 S SCHEUBER RD
CENTRALIA, WA98531-9027
 Phone: 360-330-8785
 Fax: 360-330-8784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for MARK T LARSON · (Male)

NPI Number 1497973416
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00031468
Hospital affiliation(s)
  • CAPITAL MEDICAL CENTER - (Acute Care)
    3900 CAPITAL MALL DR SW
    OLYMPIA, WA 98502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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