Individual provider Active NPI

Emilie Wong Larsen, DO

  • Pediatrics Physician
  • Spokane, WA
National Provider Identifier
1679079800
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO.OP.70003591 Issued in WA
Practice address
300 E 5TH Ave # 1W
Spokane, WA 99202-1349
Phone
(509) 342-3150
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO.OP.70003591 WA Primary

Addresses

Primary practice location

300 E 5TH Ave # 1W
Spokane, WA 99202-1349

Mailing address

300 E 5TH Ave # 1W
Spokane, WA 99202-1349
Phone (509) 342-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220803003315 NE Practitioner - HospitalistPractitioner - Pediatric Medicine 9032591268 Reassigns benefits to 1 organization
I20250911001420 WA Practitioner - Pediatric Medicine 9032591268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1314 E Susan LN
Spokane, WA 99223-6205

PO Box
Suite 5299
Tacoma, WA 98415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO.OP.70003591WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Pediatrics CurrentSince Aug 22, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Father Flanagan'S Boys' Home Pediatrics CurrentSince Aug 15, 2022 Accepting new patients
Multicare Health System CurrentSince Aug 22, 2025 Accepting new patients
ENT Services PC Past Accepting new patients
Rockwood Clinic PS PastSince Nov 7, 2025 Accepting new patients
Father Flanagan'S Boys' Home Past Accepting new patients
Multicare Health System Past Accepting new patients
Multicare Health System PastSince Nov 7, 2025 Accepting new patients

Locations

14000 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6000

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1679079800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 5TH AVE # 1W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021349",
            "telephone_number": "509-342-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 5TH AVE # 1W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021349",
            "telephone_number": "509-342-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "EMILIE",
        "middle_name": "WONG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "DO.OP.70003591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.