Individual provider · Type 1 NPI
Larry Michael Wiedenhoft, EMT
Emergency Medical Services (Emergency Medicine) Physician · Manzanita, OR
Practice location
465 Manzanita Ave
Manzanita, OR 97130-0810
Mailing address
PO Box 810
Manzanita, OR 97130-0810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | 143317 (OR) |
Emergency Medical Services (Emergency Medicine) Physician: 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.
About NPI 1972139418
Larry Michael Wiedenhoft, EMT's National Provider Identifier is 1972139418, issued on Mar 17, 2020. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Manzanita, OR. The record was last updated on Mar 17, 2020.