Individual provider Active NPI

Anthony E Larhs, MD

  • Diagnostic Radiology Physician
  • Vancouver, WA
National Provider Identifier
1831262823
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD163499 Issued in OR
Practice address
221 NE 104TH Ave
Ste 106
Vancouver, WA 98664-4505
Phone
(503) 246-6666
Fax
(503) 246-9465
NPI assigned
Nov 16, 2006
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD163499 OR
Diagnostic Radiology Physician 2085R0202X MD163499 OR Primary

Addresses

Primary practice location

221 NE 104TH Ave
Ste 106
Vancouver, WA 98664-4505

Mailing address

9370 SW Greenburg Rd.
Ste J
Portland, OR 97223-5442
Phone (503) 246-6666

Other practice location 1

9370 SW Greenburg Rd
Ste J
Portland, OR 97223-5408
Phone (503) 246-6666

Other identifiers 9

IdentifierTypeStateIssuer
300108050OtherWARR MEDICARE UNION AVENUE OPEN
MD163499OtherOROR MEDICAL LICENSE
7252LAOtherWAREGENCE BLUE SHIELD UNION AVENUE OPEN
AB36543OtherWAMEDICARE PIN TRA KING COUNTY
8251449MedicaidWA
135116OtherWALABOR AND INDUSTRIES/WC TRA
2439LAOtherWAREGENCE BLUE SHIELD TRA
300108053OtherWARR MEDICARE TRA
MD00038333OtherWAWA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000520 OR Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain Management 9739125865 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD163499ORMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Advanced MRI of Portland PS CurrentSince Jun 1, 2013 Accepting new patients
Commonspirit Washington Past Accepting new patients
Tacoma Magnetic Imaging LP Past Accepting new patients
Sound Medical Imaging PLLC Diagnostic Radiology Past Accepting new patients
Open Advanced MRI of Vancouver, LLC Diagnostic Radiology PastSince Jun 1, 2013 Accepting new patients

Locations

9370 SW Greenburg Rd
Ste J
Tigard, OR 97223
Phone (503) 246-6666

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1831262823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD.",
            "address_2": "STE J",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235442",
            "telephone_number": "503-246-6666",
            "fax_number": "503-246-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE 104TH AVE",
            "address_2": "STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644505",
            "telephone_number": "503-246-6666",
            "fax_number": "503-246-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9370 SW Greenburg Rd",
            "address_2": "Ste J",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972235408",
            "country_code": "US",
            "telephone_number": "503-246-6666",
            "fax_number": "503-246-9465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARHS",
        "first_name": "ANTHONY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "MD163499",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD163499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE UNION AVENUE OPEN",
            "identifier": "300108050",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR MEDICAL LICENSE",
            "identifier": "MD163499",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD UNION AVENUE OPEN",
            "identifier": "7252LA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN TRA KING COUNTY",
            "identifier": "AB36543",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8251449",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES/WC TRA",
            "identifier": "135116",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD TRA",
            "identifier": "2439LA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE TRA",
            "identifier": "300108053",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MEDICAL LICENSE",
            "identifier": "MD00038333",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.