MR. LARRY WIEDENHOFT, EMT

Emergency Medicine - Emergency Medical Services

Active Individual
NPI: 1972139418

Practice Address

465 MANZANITA AVE
Manzanita, OR 97130

Phone: (503) 704-1006

Specialties

Specialty Code Primary License
Emergency Medicine - Emergency Medical Services 207PE0004X Yes 143317 (OR)

Frequently Asked Questions

NPI 1972139418 is the National Provider Identifier for MR. LARRY WIEDENHOFT, EMT, a Emergency Medicine - Emergency Medical Services provider located in Manzanita, OR. This NPI was enumerated on March 17, 2020.
MR. LARRY WIEDENHOFT, EMT practices at 465 MANZANITA AVE, Manzanita, OR 97130.

Quick Facts

NPI
1972139418
Type
Individual
Enumerated
Mar 17, 2020
Last Updated
Mar 17, 2020

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