IndividualActive
Larry Hall, MD
NPI 1225207202 · Pediatrics Physician · Glide, OR
Provider details
- NPI number
- 1225207202
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 6527 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2010 Opportunity Lane
Glide, OR 97443-9779
Phone: (541) 496-4546
Fax: (541) 496-8538
Approximate (ZIP-level) locationGet directions
Mailing address
457 Lone Rock Rd
Glide, OR 97443-9779
Registry dates
- Enumerated
- 2008-02-25
- Last updated
- 2008-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.