Northwest Wade Corporation

NPI 1033231709 - Non-emergency Medical Transport (VAN) - 343900000X

NPI Details
NPI 1033231709
Enumeration Date 04/04/2007
Last Updated 09/06/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JUNITA JEAN JUNITA
Position GENERAL MANAGER AND EMERGENCY MEDIC
Phone (503) 241-7283
Fax (503) 246-2155
Practice Location
9807 SE ASH ST
PORTLAND OR, 97216, US
Phone (503) 241-7283
Fax (503) 246-2155
Business Location
PO BOX 16098
PORTLAND OR, 97292, US
Phone (503) 241-7283
Fax (503) 246-2155
Toxanomy
Taxonomy Code 343900000X
License State Oregon
License Number 383936
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According to our database, Northwest Wade Corporation NPI is 1033231709, taxonomy code is 343900000X and license number is 383936, license state is located at Oregon. Northwest Wade Corporation physically located at 9807 Se Ash St, Portland OR, 97216. NPI Number 1033115704 has the healthcare provider type.

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1033231709 NPI number is provided on an as is basis without warranty of any kind. 1033231709 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Wade Corporation are for informational purposes only.