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Easy Ride LLC

Non-emergency Medical Transport (VAN) in Portland, OR. Organization (NPI-2).

NPI number1396477550
StatusActive
Last updated in NPPESJun 27, 2022

Details

NPI
1396477550
Entity type
Organization (NPI-2)
Legal business name
Easy Ride LLC
Organization subpart
No
Enumeration date
Jun 27, 2022
Certification date
Jun 27, 2022
Last updated
Jun 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes
347C00000X Private Vehicle––

Practice location

8973 N Fiske Ave
Portland, OR 97203-3576

Phone 503-954-6737

Mailing address

8973 N Fiske Ave
Portland, OR 97203-3576

Phone 503-954-6737

Authorized official

Bashir Saad Algellal
Manager
5039546137

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