Individual provider · Type 1 NPI

Brandon H. Larsen, FNP, RN

Family Nurse Practitioner · Portland, OR

NPI number 1730532573 Active

Practice location

3036 NE Martin Luther King Jr Blvd
Portland, OR 97212-3053

Mailing address

PO Box 8459
Portland, OR 97207-8459

Other practice locations

  • 4212 SE Division St Ste 100, Portland, OR 97206-1680 · (503) 238-7166

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X341515-1 (NY)
Registered Nurse 163W00000X704261 (NY)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1730532573

Brandon H. Larsen, FNP, RN's National Provider Identifier is 1730532573, issued on Jul 17, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Mar 11, 2026.