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Individual

DR. WAYLAND SHERROD LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
904 SW BAY ST, NEWPORT, OR 97365-4860
(541) 574-4677
(541) 574-4663
Mailing address
904 SW BAY ST, NEWPORT, OR 97365-4860
(541) 574-4677
(541) 574-4663

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD10109
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0189210
PROVIDER NUMBER
WA
05
022791
OR
Enumeration date
05/24/2005
Last updated
03/15/2013
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