Carli Wymore, CPT

NPI #1750832887 in Lebanon, Oregon

Provider Information

NPI Number: 1750832887
Entity Type: Individual
Name: Carli Wymore, CPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CPT
Enumeration Date: Oct 24, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 35 MULLINS DR STE 3
City: Lebanon
State: Oregon
ZIP Code: 97355-3985
Phone: (541) 451-6992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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