MR. LARRY MICHAEL WIEDENHOFT EMT
NPI 1972139418
Emergency Medicine - Emergency Medical Services in Manzanita, OR

Q: What is Larry Wiedenhoft's NPI number?

The NPI number for Larry Wiedenhoft is 1972139418. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Q: What is Larry Wiedenhoft's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Larry Wiedenhoft was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 17, 2020

465 MANZANITA AVE, MANZANITA, OR 97130(503) 704-1006 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Larry Michael Wiedenhoft Emt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY MICHAEL WIEDENHOFT EMT (NPI 1972139418) is an individual emergency medical services provider in Manzanita, Oregon, licensed in Oregon (143317) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1972139418

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameMR. LARRY MICHAEL WIEDENHOFTCredential: EMT

Location Address465 MANZANITA AVEManzanita, OR 97130-0810

Mailing AddressPo Box 810Manzanita, OR 97130-0810 · (503) 704-1006

Phone(503) 704-1006

Sole ProprietorNo

Enumeration DateMarch 17, 2020

NPPES CertifiedMarch 17, 2020

✔ NPI 1972139418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in OR · 143317

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.

465 MANZANITA AVE, Manzanita, OR 97130

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Wiedenhoft's NPI number?

The NPI number for Larry Wiedenhoft is 1972139418. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Larry Wiedenhoft located?

Larry Wiedenhoft practices at 465 Manzanita Ave, Manzanita, OR 97130. The listed phone number is (503) 704-1006.

What is Larry Wiedenhoft's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Larry Wiedenhoft was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.