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1982123147
NEDD L WYANT
PORTLAND, OR
NPI
1982123147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR 201707072RN)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
NEDD L WYANT RN
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 503-238-2067
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Mailing Address
NEDD L WYANT RN
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-501-5641
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