Individual
DR. LYLE ROWLAND MOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 3RD ST STE 100, TILLAMOOK, OR 97141-9469
(503) 842-4033
(503) 842-5044
Mailing address
980 3RD ST STE 100, TILLAMOOK, OR 97141-9469
(503) 842-4033
(503) 842-5044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD10045
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031468
—
OR
01
—
L250001
PACIFIC SOURCE
OR
Enumeration date
08/31/2006
Last updated
07/08/2007
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