NPI 1134563893
Statewide Meditrans
Practice location
- Address
- 515 Hassett St, Brookings, OR 97415-8205
- Phone
- (541) 813-9006
Authorised official
- Name
- Lisa Dofflemyer
- Title
- Owner
- Phone
- (541) 813-9006
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1134563893
- Entity type
- Organization
- NPI issued
- 24 Apr 2013
- Record last updated
- 24 Apr 2013
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.