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Seaheart Elan, LMT-OR(ADD);LMP-WA(I

NPI 1568662534 · on the registry since 2007 · sole proprietor

Practice

Address
539 Moffitt Road
Waldport, OR 97394
Phone
(541) 563-8333
Fax
(360) 385-2117

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon