NPI 1174892210

Central Cascades Fire & EMS

Organisation Paramedic Crescent Lake, OR

Practice location

Address: 20400 Crescent Lake Hwy, Crescent Lake, OR 97733-7044
Phone: (541) 433-2800
Mailing address: PO Box 1065, Crescent Lake, OR 97733-1065

Authorised official

Name: Sally R Carlson
Title: EMS Director
Phone: (541) 433-2800

Registered specialties (2)

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 133419 (OR)

Other Emergency Medical Technician, Paramedic providers in Oregon →

Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X Licence 134610 (OR)

Other Emergency Medical Technician, Basic providers in Oregon →

Registry record

NPI: 1174892210
Entity type: Organization
NPI issued: 19 Dec 2011
Record last updated: 19 Dec 2011

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.