Organization · NPI-2

Evergreen Ambulance

Ambulance · Portland, OR

NPI number1942146188
StatusActive
Last updated in NPPESApr 28, 2026

Details

NPI
1942146188
Entity type
Organization (NPI-2)
Legal business name
Evergreen Ambulance
Organization subpart
No
Enumeration date
Apr 28, 2026
Certification date
Apr 28, 2026
Last updated
Apr 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
341600000X Ambulance––Yes

Practice location

2330 Se Clatsop St
Portland, OR 97202-9001

Phone 503-752-0386

Mailing address

2330 Se Clatsop St
Portland, OR 97202-9001

Phone 503-752-0386

Authorized official

Nicholas Sean Hayes
Operations Manager
5037520386

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