| NPI | 1174954119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU BAKKEN Fire Chief 360-275-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2023-11-08 |