# CITY OF DALLAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Dallas Ambulance Svc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235132689
- **Authorized official:** MR. TODD BRUMFIELD (EMS DIRECTOR)
- **Authorized official phone:** (503) 831-3537

## Contact information

- **Practice address:** 187 SE COURT ST, DALLAS, OR 97338-3117
- **Practice address phone:** (503) 831-3533
- **Practice address fax:** (503) 623-7352
- **Mailing address:** PO BOX 3510, SILVERDALE, WA 98383-3510
- **Mailing address phone:** (360) 394-7010
- **Mailing address fax:** (360) 394-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2701-05 | OR | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 11/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 045153 | — | OR |
| 01 | — | 756590275 | RAILROAD MEDICARE PIN | OR |