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MR. LARRY MICHAEL OBORN PA-C
NPI 1942219233
Physician Assistant - Medical in Boise, ID

Active since August 05, 2006
11197 W FAIRVIEW AVE, BOISE, ID 83713(208) 378-8011(208) 322-8095 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Larry Michael Oborn Pa-c NPPES

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

MR. LARRY MICHAEL OBORN PA-C (NPI 1942219233) is an individual medical provider in Boise, Idaho, licensed in Idaho (PA-1099) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1942219233
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. LARRY MICHAEL OBORNCredential: PA-C
Location Address11197 W FAIRVIEW AVEBoise, ID 83713-7935
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6522 · Fax (208) 955-6503
Phone(208) 378-8011
Fax(208) 322-8095
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2014
✔ NPI 1942219233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-1099
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License PA11201 (CA)
11197 W FAIRVIEW AVE, Boise, ID 83713
Open in Google Maps ↗

Other Identifiers 1

Other942492609CA · Tax Id Number

Other Providers at the Same Location NPPES 8

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

THIAGO ALBERTO NP
Nurse Practitioner
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
MRS. JENNIFER M VINCENT DO
Family Medicine
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
JORDYN JARRETT NP
Nurse Practitioner
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
ALLIANCE MEDICAL GROUP, LLC
Family Medicine
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
RYAN A MOORE MD
Family Medicine
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
TANYA MARIE ALLMARAS
Physician Assistant
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
MS. JENNA LYNN MAFFEY M.M.S; PA-C
Physician Assistant (Medical)
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
ABBY M. LUENSMANN M.D.
Family Medicine
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011

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 Oborn's NPI number?

The NPI number for Larry Oborn is 1942219233. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Larry Oborn located?

Larry Oborn practices at 11197 W Fairview Ave, Boise, ID 83713. The listed phone number is (208) 378-8011.

What is Larry Oborn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Larry Oborn was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.