Active NPI
Jennifer L Larson, M.D.
- Emergency Medicine Physician
- Happy Valley, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD25904
- Practice address
- 16180 SE Sunnyside Rd Ste 102
Happy Valley, OR 97015-6302 - Phone
- (503) 582-4900
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD25904 | OR | Primary |
Addresses
Primary practice location
16180 SE Sunnyside Rd Ste 102
Happy Valley, OR 97015-6302
Mailing address
16180 SE Sunnyside Rd Ste 102
Happy Valley, OR 97015-6302
Other practice location 1
1700 E 19th St
The Dalles, OR 97058-3317
Phone (541) 296-1111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273851 | Medicaid | OR | |
| 865374000 | Other | BCBS OF OR | |
| 8940758 | Other | WA CRIME VICTIMS | |
| 0205695 | Other | WA L & I | |
| P00276313 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oregon Health Sciences University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16180 SE Sunnyside Rd
Suite 102
Happy Valley, OR 97015-6302
Phone (503) 582-4900
Hospital & facility affiliations
- Mid-Columbia Medical Center
- Providence Milwaukie Hospital
- Providence Hood River Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
16180 SE Sunnyside Rd
Ste 102
Happy Valley, OR 97015
Phone (503) 582-4900
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
1810 E 19th St
Ste 211
The Dalles, OR 97058
Phone (503) 292-1400
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
Interoperability endpoints
- jlarson92057@direct.ohsu.edu
- https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
- jlarson474702@oc.providencedirect.org
Organizations & group practices 15
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
Emergency Medicine
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1952483653
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
-
- Critical Access Hospital
- Sheridan, OR
- NPI 1053873919
-
- Rural Health Clinic/Center
- Tillamook, OR
- NPI 1841451853
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Portland, OR
- NPI 1407109937
-
- Rural Health Clinic/Center
- Hood River, OR
- NPI 1073100095
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- The Dalles, OR
- NPI 1306842752
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1679512347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16180 SE SUNNYSIDE RD STE 102",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970156302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16180 SE SUNNYSIDE RD STE 102",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970156302",
"telephone_number": "503-582-4900"
}
],
"practiceLocations": [
{
"address_1": "1700 E 19th St",
"address_purpose": "LOCATION",
"city": "The Dalles",
"state": "OR",
"postal_code": "970583317",
"country_code": "US",
"telephone_number": "541-296-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD25904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273851",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF OR",
"identifier": "865374000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA CRIME VICTIMS",
"identifier": "8940758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L & I",
"identifier": "0205695",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00276313",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.