WILLAMETTE VALLEY TRANSPORT INC NPI 1609890003

NPI Information

NPI: 1609890003
Provider Name: WILLAMETTE VALLEY TRANSPORT, INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
10320 SE HWY 212
CLACKAMAS, OR
ZIP 97015
Phone: (503) 939-4050
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WILLAMETTE VALLEY TRANSPORT, INC is a land transport ambulance in Clackamas, OR. WILLAMETTE VALLEY TRANSPORT, INC NPI is 1609890003. The provider is registered as an organization entity type.

The provider's business location address is:

10320 SE HWY 212
CLACKAMAS, OR
ZIP 97015-730
Phone: (503) 939-4050
Fax: (503) 939-4050

The provider's authorized official is Timothy F Mcclain .
The authorized official title is President and has the following contact phone number (503) 569-5944.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 2/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)			OREGON	No
2	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	233330	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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