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Mr. Larry Michael Wiedenhoft, EMT
Emergency Medical Services (Emergency Medicine) Physician in Manzanita, Oregon
NPI 1972139418

Larry Michael Wiedenhoft is a Emergency Medical Services (Emergency Medicine) Physician based in Manzanita, OR and is specialized in Emergency Medical Services. Larry Michael Wiedenhoft practices in Manzanita, OR and has the professional credentials of EMT. The NPI Number for Larry Michael Wiedenhoft is 1972139418 and holds a License No. 143317 (Oregon).

The current practice location address for Larry Michael Wiedenhoft is 465 Manzanita Ave, Manzanita, OR and can be reached out via phone at 503-704-1006.

Location: 465 Manzanita Ave, Manzanita, OR, 97130-0810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972139418
Provider Name
Larry Michael Wiedenhoft
Credential
EMT
Provider Entity Type
Individual
Gender
Male
Address
465 Manzanita Ave, Manzanita, OR, 97130-0810
Phone Number
503-704-1006
Fax Number
Provider Enumeration Date
03/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
465 Manzanita Ave
City
Manzanita
State
Oregon
Zip
97130-0810
Phone Number
503-704-1006
Fax Number
person
Provider Business Mailing Address Details
Address
465 Manzanita Ave
City
Manzanita
State
Oregon
Zip
97130-0810
Phone Number
503-704-1006
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
143317 (Oregon)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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