Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700050333 Individual Practitioner Female Practitioner

Dr. Ilse A Larson , MD

Pediatrics • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ilse Larson, MD is a registered healthcare professional specializing in Pediatrics in Portland, OR. Practice services are available at 3181 SW SAM JACKSON PARK ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3181 Sw Sam Jackson Park Road

Portland, OR 972393098

Telephone 5034946513
Fax 5034941542

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
282 Specialists

Practicing in Portland, OR (880 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A103087

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OR MD167663

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. Claudia Henriquez Lopez , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1013530302

Doctor of Medicine (M.D.)

Dr. Jodiey Bondurant , DNP, CPNP-PC, AC, FNP

Nurse Practitioner - Pediatrics

NPI 1104369917

Doctor of Nursing Practice, CPNPPC, AC, Family Nurse Practitioner

Dr. Akila Raja , DO

Pediatrics - Neonatal-Perinatal Medicine

NPI 1184200735

Doctor of Osteopathic Medicine (D.O.)

Christopher Cary , NNP-BC

Nurse Practitioner - Neonatal

NPI 1235855925

NNPBC

Dr. Dawn Nolt , MD

Pediatrics - Pediatric Infectious Diseases

NPI 1285609917

Doctor of Medicine (M.D.)

Kaitlin Egan , NNP-BC

Nurse Practitioner - Neonatal

NPI 1326564659

NNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address January 21, 2020

Registered at 2330 POST ST, STE 320, SAN FRANCISCO, CA 941153466

NPI Profile Active July 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2014

Registered at 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 972393098 (Tel: 5034946513)

📍
Updated Business Mailing Address July 01, 2014

Registered at 707 SW GAINES ST, MAILCODE CDRCP, PORTLAND, OR 972392901

👤
Provider Name / Credentials Updated July 01, 2014

Recorded as ILSE LARSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2014

Pediatrics (License #MD167663 in OR)

🟢
Initial NPI Registration & Enumeration April 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700050333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2008
Last Update: January 21, 2020
Sole Proprietor: No

Mailing Address

2330 Post St, Ste 320

San Francisco, CA 941153466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.