Larry Michaelwiedenhoft
NPI 1972139418
Practice location: 465 Manzanita Ave, Manzanita, OR 971300810
Taxonomy code: 207PE0004X
Phone: (503) 704-1006
503-704-1006 seems to be a Mobile telephone number and it could be based in Portland OR.
Currently, there are 1 healthcare prodviders using 5037041006 phone.