1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Surgery
  6. NPI Profile

LARRY R EIDEMILLER M.D.
NPI 1447287701
Surgery in Portland, OR

Active since June 26, 2006
1130 NW 22ND AVE, SUITE 500, PORTLAND, OR 97210(503) 229-7339(503) 229-7938 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry R Eidemiller M.d. NPPES

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

LARRY R EIDEMILLER M.D. (NPI 1447287701) is an individual surgery provider in Portland, Oregon, licensed in Oregon (MD07236) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1447287701
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLARRY R EIDEMILLERCredential: M.D.
Location Address1130 NW 22ND AVE, SUITE 500Portland, OR 97210-2900
Mailing Address9155 Sw Barnes Rd, Suite 830Portland, OR 97225-6625 · (503) 229-7339 · Fax (503) 229-7938
Phone(503) 229-7339
Fax(503) 229-7938
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateMay 22, 2008
✔ NPI 1447287701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OR · MD07236
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1130 NW 22ND AVE, Portland, OR 97210
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN0000WCGDGDOR
Medicare UPINC90943OR
Medicaid234799OR

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.

ERIKA K MEYER MD
Pediatrics
1130 NW 22ND AVE, STE 320
PORTLAND, OR 97210
Multnomah County (503) 295-2546
DEIDRE L BURTON MD
Pediatrics
1130 NW 22ND AVE, SUITE 320
PORTLAND, OR 97210
Multnomah County (503) 295-2546
JOY ANNE ROTHSCHILD NP
Nurse Practitioner (Women's Health)
1130 NW 22ND AVE, SUITE 520
PORTLAND, OR 97210
Multnomah County (503) 274-4800
DR. DAVID L PERRY M.D.
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Multnomah County (503) 413-8988
FAYE E. SONO PT
Physical Therapist
1130 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210
Multnomah County (503) 413-3879
MS. MARY KATHRYN THOMPSON PMHNP
Nurse Practitioner
1130 NW 22ND AVE, SUITE 345
PORTLAND, OR 97210
Multnomah County (503) 413-7513
KELLY FAITH SCOTT MD
Internal Medicine
1130 NW 22ND AVE, 220
PORTLAND, OR 97210
Multnomah County (503) 413-8988
ERICH JONATHAN MEIHOFF MD
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Multnomah County (503) 413-8988

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 Larry Eidemiller's NPI number?

The NPI number for Larry Eidemiller is 1447287701. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Larry Eidemiller located?

Larry Eidemiller practices at 1130 NW 22nd Ave Suite 500, Portland, OR 97210. The listed phone number is (503) 229-7339.

What is Larry Eidemiller's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Larry Eidemiller was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.