NPIMap

Organization Active NPI

David P Larson MD LLC

  • Internal Medicine Physician
  • Beaverton, OR
National Provider Identifier
1497306468
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAVID P LARSON MD LLC
Practice address
16043 SW Waxwing Way
Beaverton, OR 97007-8362
Phone
(503) 719-2250
Fax
(503) 268-1210
NPI assigned
Sep 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Paddock Larson, MDNPI 1992798599
Title
President/Physician
Phone
(503) 719-2250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

16043 SW Waxwing Way
Beaverton, OR 97007-8362

Mailing address

16043 SW Waxwing Way
Beaverton, OR 97007-8362
Phone (503) 719-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191220000942 OR Part B Supplier - Clinic/Group Practice 5092149260 Receives reassigned benefits from 6 practitioners
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

835 SW 11th St
Newport, OR 97365
Phone (541) 265-5356

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1497306468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16043 SW WAXWING WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078362",
            "telephone_number": "503-719-2250",
            "fax_number": "503-268-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16043 SW WAXWING WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078362",
            "telephone_number": "503-719-2250",
            "fax_number": "503-268-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P LARSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-21",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PADDOCK",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "503-719-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.