Northwest Wade Corporation
Ambulance, Land Transport in Portland, OR. Organization (NPI-2).
NPI number1033231709
StatusActive
Last updated in NPPESSep 6, 2012
Details
- NPI
- 1033231709
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Wade Corporation
- Organization subpart
- No
- Enumeration date
- Apr 4, 2007
- Last updated
- Sep 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | 383936 | OR | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 383936 | OR |
Other names
- Community Ambulance (Doing Business As)
Practice location
9807 Se Ash StPortland, OR 97216
Phone 503-241-7283 · Fax 503-246-2155
Mailing address
Po Box 16098Portland, OR 97292
Phone 503-241-7283 · Fax 503-246-2155
Authorized official
Junita Jean Kauble
General Manager And Emergency Medic
5032417283
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