| NPI | 1306299151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RAE COATES Sole Proprietor/Owner 503-507-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |