| NPI | 1235121773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN TUCKER Chief 541-595-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: OR 0904-06) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2021-08-13 |