Mr. Larry Michael Wiedenhoft, EMT

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1972139418

Mr. Larry Michael Wiedenhoft, EMT is an Emergency Medical Services (Emergency Medicine) Physician in Manzanita, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in: OR
In the registry since: 2020

What do these letters mean?

EMT — Emergency Medical Technician: Provides emergency care before and during transport to hospital.

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Practice location Address checks out

465 Manzanita Ave
Manzanita, OR 97130-0810
Phone: (503) 704-1006

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary)	Taxonomy 207PE0004X · Licence 143317 (OR)

Record details

NPI number	1972139418
Entity type	Individual (Type 1)
Gender	Male
Credentials	EMT
Sole proprietor	No
NPI enumerated	March 17, 2020
Last updated in NPPES	March 17, 2020
Certification date	March 17, 2020