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DR. LARSSON GEPFORD DO
NPI 1104764240
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since March 23, 2026PECOS Enrolled
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7711(503) 413-6892 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larsson Gepford Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARSSON GEPFORD DO (NPI 1104764240) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104764240
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LARSSON GEPFORDCredential: DO
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address12801 Indian School Rd Ne Apt 1806Albuquerque, NM 87112-4776 · (360) 903-9989 · Fax (503) 413-6892
Phone(503) 413-7711
Fax(503) 413-6892
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
✔ NPI 1104764240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1015 NW 22ND AVE, Portland, OR 97210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larsson Gepford Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TSYRIA SHIANN TANG DO
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7036
MARK A CRISLIP
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Multnomah County (503) 413-8258
COLTON PATRICK BONEY DO
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
NICKOLAS ROCKENBACK MD
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
CAROLYN N RHETT MD
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7260
BRIAN BATTALIA MD
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 464-9034
DR. JUDITH ANN RAY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-8259
JENELLE LYNN STINSON PHARMD
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larsson Gepford's NPI number?

The NPI number for Larsson Gepford is 1104764240. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Larsson Gepford located?

Larsson Gepford practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Larsson Gepford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Larsson Gepford enrolled in Medicare?

Yes. Larsson Gepford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larsson Gepford was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.