Dr. Roger K Larson , MD
Specialist • Burien, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Larson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roger Larson, MD was a registered Specialist practicing in Burien, WA. Throughout an active medical career spanning 13 years, Dr. Larson provided care at the practice location at 14212 AMBAUM BLVD SW until profile deactivation on 2019-05-13.
Practice Location & Contact Primary Location
14212 Ambaum Blvd Sw
Suite 201
Burien, WA 981661449
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Burien, WA
Practicing in Burien, WA (2751 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 13, 2019
NPI status registered as active in NPPES database
Registered at 14212 AMBAUM BLVD SW, SUITE 201, BURIEN, WA 981661449 (Tel: 2062445477)
Registered at 16233 SYLVESTER SWRD G30, BURIEN, WA 981663045 (Tel: 2062445477)
Recorded as ROGER LARSON, M.D.
Specialist (License #MD00007073 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
16233 Sylvester Swrd G30
Burien, WA 981663045
Phone: 2062445477
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