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
Fax: (541) 574-4663
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740283407 NPPES
Washington Other 0189210 PROVIDER NUMBER
Washington MEDICAID 022791 PROVIDER NUMBER

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