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Larry Wiedenhoft, EMT

NPI 1972139418 · on the registry since 2020

Practice

Address
465 Manzanita Ave
Manzanita, OR 97130
Phone
(503) 704-1006

Registry record

Primary taxonomy
207PE0004X
207PE0004X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon