| NPI | 1235726456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN HEINZMAN Administrative Assistant 541-560-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |