OrganizationActive
Larson Dermatology, LLC
NPI 1679405195 · Dermatology Physician · Portland, OR
Provider details
- NPI number
- 1679405195
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Krista Larson, Owner/Dermatologist(541) 919-2353
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone: (541) 919-2353
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 86536
Portland, OR 97286-0536
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-01
- Certified
- 2026-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.