High Angle Rapid Extrication Module Support Team LLC
Ambulance, Land Transport in Portland, OR. Organization (NPI-2).
NPI number1346124856
StatusActive
Last updated in NPPESAug 5, 2025
Details
- NPI
- 1346124856
- Entity type
- Organization (NPI-2)
- Legal business name
- High Angle Rapid Extrication Module Support Team LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2025
- Certification date
- Aug 5, 2025
- Last updated
- Aug 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | – | – | Yes |
Practice location
11633 Sw 39th AvePortland, OR 97219-7484
Phone 503-730-8392
Mailing address
11633 Sw 39th AvePortland, OR 97219-7484
Phone 503-730-8392
Authorized official
Robert Aberle
Owner
5037308392
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