Provider Demographics
NPI:1831262823
Name:LARHS, ANTHONY E (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:E
Last Name:LARHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9370 SW GREENBURG RD.
Mailing Address - Street 2:STE J
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5442
Mailing Address - Country:US
Mailing Address - Phone:503-246-6666
Mailing Address - Fax:503-246-9465
Practice Address - Street 1:221 NE 104TH AVE
Practice Address - Street 2:STE 106
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-4505
Practice Address - Country:US
Practice Address - Phone:503-246-6666
Practice Address - Fax:503-246-9465
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD163499208VP0014X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA300108050OtherRR MEDICARE UNION AVENUE OPEN
ORMD163499OtherOR MEDICAL LICENSE
WA7252LAOtherREGENCE BLUE SHIELD UNION AVENUE OPEN
WAAB36543OtherMEDICARE PIN TRA KING COUNTY
WA8251449Medicaid
WA135116OtherLABOR AND INDUSTRIES/WC TRA
WA2439LAOtherREGENCE BLUE SHIELD TRA
WA300108053OtherRR MEDICARE TRA
WAMD00038333OtherWA MEDICAL LICENSE
WA135116OtherLABOR AND INDUSTRIES/WC TRA
WA300108053OtherRR MEDICARE TRA