# NOBLE CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Noble Ambulance Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104819507
- **Authorized official:** MR. MANNY CLAIR POLANCO (PRESIDENT)
- **Authorized official phone:** (503) 742-1692

## Contact information

- **Practice address:** 15140 SE 82ND DR, SUITE 270, CLACKAMAS, OR 97015-9695
- **Practice address phone:** (503) 742-1692
- **Practice address fax:** (503) 742-1693
- **Mailing address:** PO BOX 2917, CLACKAMAS, OR 97015-2917
- **Mailing address phone:** (503) 742-1692
- **Mailing address fax:** (503) 742-1693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0322-06 | OR | Yes |

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 182226 | — | OR |
| 05 | — | 295445 | — | OR |