Lee, Wayland Sherrod
Lee, Wayland Sherrod is an individual health care provider with primary practice located at 904 Sw Bay St , Newport OR 97365-4860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lee, Wayland Sherrod can be contacted via phone (541) 574-4677.Contact Information
Primary practice address
904 Sw Bay St
Newport OR 97365-4860
Phone: (541) 574-4677
Fax: (541) 574-4663
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD10109 | Oregon |
Profile Details
NPI number | 1740283407 |
---|---|
LBN Legal business name | Lee, Wayland Sherrod |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Mar 15th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740283407 | NPPES |
Washington | Other | 0189210 | PROVIDER NUMBER |
Washington | MEDICAID | 022791 | PROVIDER NUMBER |
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