Tisha Marie Larsen
Nurse Practitioner - Family
621 W Madrone St, Roseburg
Oregon, 97470-3090
541-440-3500
Tisha Marie Larsen is a Roseburg, Oregon based nurse practitioner who is specialized as Family nurse. Active license number of Tisha Marie Larsen is 201910861NP-PP for Nurse Practitioner in Oregon. Her current practice location is 621 W Madrone St, Roseburg. Patients can reach her at 541-440-3500 or can fax her at 541-957-3003 with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1578954855.
Tisha Marie Larsen delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Tisha Marie Larsen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tisha Marie Larsen |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Practice Address: | 621 W Madrone St, Roseburg,
Oregon, 97470-3090 |
| Phone: | 541-440-3500 |
| Fax: | 541-957-3003 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1578954855 |
| NPI Enumeration Date: | 09 Feb, 2015 |
| NPI Last Update On: | 12 Oct, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tisha Marie Larsen are as mentioned below.
| License Number | Specialization | State | Status | |
| 201910861NP-PP | Nurse Practitioner | Oregon | Primary | |
| 201500780NP-PP | Family | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tisha Marie Larsen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 165772 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tisha Marie Larsen
Po Box 1121,
Roseburg, Oregon |
| Zip: | 97470-0254 |
| Phone Number: | 541-672-2691 |
Patients can reach Tisha Marie Larsen at
621 W Madrone St, Roseburg, Oregon or can
call to book an appointment on 541-440-3500.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.