Provider Demographics
NPI:1568524791
Name:LARSEN, ALAN ROLF JR (DO)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:ROLF
Last Name:LARSEN
Suffix:JR
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:9040 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-5001
Practice Address - Country:US
Practice Address - Phone:253-968-1440
Practice Address - Fax:253-968-4330
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2024-05-07
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Provider Licenses
StateLicense IDTaxonomies
WA607498362084N0008X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine