NPI 1033231709

Northwest Wade Corporation

Organisation Land Ambulance Portland, OR

Practice location

Address: 9807 SE Ash St, Portland, OR 97216
Phone: (503) 241-7283
Fax: (503) 246-2155
Mailing address: PO Box 16098, Portland, OR 97292

Authorised official

Name: Junita Jean Kauble
Title: General Manager and Emergency Medic
Phone: (503) 241-7283

Registered specialties (2)

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 383936 (OR)

Other Ambulance providers in Oregon →

Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X Licence 383936 (OR)

Other Non-emergency Medical Transport (VAN) providers in Oregon →

Registry record

NPI: 1033231709
Entity type: Organization
NPI issued: 4 Apr 2007
Record last updated: 6 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.