| Doctor Name: | MR. LARRY FEIN |
| NPI Number: | 1104075563 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 200040489RN |
| Business Practice Address: | 21815 Willamette Dr West Linn, OR - 970683232 |
| Business Phone Number: | 5037026665 |
| Business Fax Number: | 5036550112 |
| Mailing Address: | 21815 Willamette Dr, WEST LINN |
| State: | OR |
| Postal Code: | 970683232 |
| Phone Number: | 5037026665 |
| Fax Number: | 5036550112 |
| NPI Enumeration Date: | 09/10/2008 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 200040489RN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |