Individual
DANIEL LEWIS WAEGELE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 N. EL DORADO AVENUE, KLAMATH FALLS, OR 97601-6174
(541) 273-6206
Mailing address
PO BOX 902, KENO, OR 97627-0902
(541) 810-1166
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
201243682
OR
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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