Search › Oregon › 363LP2300X
Sid Keomanivong
NPI 1760960462 · on the registry since 2018
Practice
- Address
- 2677 Beall Ln
Central Point, OR 97502 - Phone
- (702) 343-0466
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-08
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