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Individual

SETH ALEXANDER WINETROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT, AE-C

Contact information

Practice address
3135 ALAMEDA DR., UNIT 1, MEDFORD, OR 97504-9750
(541) 430-2033
Mailing address
3135 ALAMEDA ST UNIT 1, MEDFORD, OR 97504-8644
(541) 430-2033

Taxonomy

Speciality
Code
Description
License number
State
2279E1000X
Educational Registered Respiratory Therapist
Primary
RTP10170140
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RTP10170140
RRT LICENSE NUMBER
OR
Enumeration date
06/29/2017
Last updated
06/16/2018
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