1. Home
  2. Directory
  3. Washington
  4. Mount Vernon
  5. Physician Assistant
  6. NPI Profile

IVORY V LARRY PA-C
NPI 1932109691
Physician Assistant in Mount Vernon, WA

Active since July 26, 2005
1500 CONTINENTAL PL, MOUNT VERNON, WA 98273(360) 424-7041(360) 424-8449 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivory V Larry Pa-c NPPES

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

IVORY V LARRY PA-C (NPI 1932109691) is an individual physician assistant in Mount Vernon, Washington, licensed in Washington (PA10000273) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1932109691
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameIVORY V LARRYCredential: PA-C
Location Address1500 CONTINENTAL PLMount Vernon, WA 98273-4105
Mailing Address1500 Continental PlMount Vernon, WA 98273-4105 · (360) 424-7041 · Fax (360) 424-8449
Phone(360) 424-7041
Fax(360) 424-8449
Sole ProprietorNo
Enumeration DateJuly 26, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932109691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA10000273
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 CONTINENTAL PL, Mount Vernon, WA 98273
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINS74505WA
Medicare ID-Type UnspecifiedAB08133WA
Other132073WA · Labor And Industries

Other Providers at the Same Location NPPES 16

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

KEELYMAE J REGAN DPT
Physical Therapist
1500 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 424-7041
PROLIANCE SURGEONS, INC., P.S.
Clinic/Center (Magnetic Resonance Imaging (MRI))
1500 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 424-7041
STEPHEN J MILLER D.P.M.
Podiatrist
1500 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 424-7041
MARK S VOLLRATH PA-C
Physician Assistant
1500 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 424-7041
KRISTEN ERIN ROBERTS PA-C
Physician Assistant (Surgical)
1500 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 424-7041
SCOTT MICHAEL ELY PA-C
Physician Assistant (Surgical)
1500 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 424-7041
PROLIANCE SURGEONS, INC., P.S.
Clinic/Center (Ambulatory Surgical)
1500 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 424-7041
MS. CARYN ANNE CLIPPERT PA-C
Physician Assistant (Surgical)
1500 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 424-7041

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 Ivory Larry's NPI number?

The NPI number for Ivory Larry is 1932109691. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Ivory Larry located?

Ivory Larry practices at 1500 Continental Pl, Mount Vernon, WA 98273. The listed phone number is (360) 424-7041.

What is Ivory Larry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ivory Larry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.