MR. LARRY MICHAEL WIEDENHOFT EMT NPI 1972139418

NPI Information

  • NPI: 1972139418
  • Provider Name: MR. LARRY MICHAEL WIEDENHOFT, EMT
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • Address: 465 MANZANITA AVE
    MANZANITA, OR
    ZIP 97130
  • Phone: (503) 704-1006

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NPI Details

MR. Larry Michael Wiedenhoft, EMT is an emergency medical services emergency medicine in Manzanita, OR. The provider is 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. MR. Larry Michael Wiedenhoft, EMT NPI is 1972139418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

465 MANZANITA AVE
MANZANITA, OR
ZIP 97130-810
Phone: (503) 704-1006

The enumeration date for this NPI number is 3/17/2020 and was last updated on 3/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical Services143317OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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