Keith R Larson Dmd Pc
Customized Equipment
17895 Nw Evergreen Pkwy, 130, Beaverton
Oregon, 97006-7402
503-716-6712 503-536-6617
Keith R Larson Dmd Pc is a Customized Equipment in Beaverton, Oregon. It is located at 17895 Nw Evergreen Pkwy, 130, Beaverton and it's customer support contact number is 503-716-6712. The authorized person of Keith R Larson Dmd Pc is Dr. Keith Rodney Larson, DMD, PC who is Owner of this DME and his contact number is 503-292-0416. Active license number of Keith R Larson Dmd Pc is D4338 for Customized Equipment in Oregon.
Keith R Larson Dmd Pc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Keith R Larson Dmd Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Keith R Larson Dmd Pc |
| Type: | Customized Equipment |
| Location: | 17895 Nw Evergreen Pkwy, 130, Beaverton,
Oregon, 97006-7402 |
| Phone: | 503-716-6712 |
| Fax: | 503-536-6617 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Keith Rodney Larson |
| Credentials: | DMD, PC |
| Position: | Owner |
| Contact Number: | 503-292-0416 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1093185118 |
| NPI Enumeration Date: | 01 Oct, 2015 |
| NPI Last Update On: | 20 Oct, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith R Larson Dmd Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | D4338 | Oregon | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 17895 Nw Evergreen Pkwy, 130
Beaverton, Oregon |
| Zip: | 97006-7402 |
| Phone Number: | 503-716-6712 |
| Fax Number: | 503-536-6617 |
Patients can reach Keith R Larson Dmd Pc at
17895 Nw Evergreen Pkwy, 130, Beaverton, Oregon or can
call on customer care at 503-716-6712.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.