SEAHEART ELAN, LMT-OR(ADD);LMP-WA(I

Specialist · WALDPORT, OR

Individual Active NPI 1568662534

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Specialist174400000XMA00010469WA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.