# CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Ronde Emergency Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215606132
- **Authorized official:** TAUNI MCCAMMON (QUALITY ANALYST)
- **Authorized official phone:** (503) 879-2060

## Contact information

- **Practice address:** 28480 MCPHERSON RD, GRAND RONDE, OR 97347-9708
- **Practice address phone:** (503) 879-1838
- **Mailing address:** PO BOX 3510, SILVERDALE, WA 98383-3510
- **Mailing address phone:** (360) 394-7020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2021
- **Last updated:** 01/07/2022