# PORT ORFORD COMMUNITY AMBULANCE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295869584
- **Authorized official:** CECIL ASHDOWN (EMS OFFICE COORDINATOR)
- **Authorized official phone:** (541) 332-0384

## Contact information

- **Practice address:** 552 19TH ST, PORT ORFORD, OR 97465
- **Practice address phone:** (541) 332-0384
- **Mailing address:** PO BOX 582, PORT ORFORD, OR 97465-0582

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 11/02/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 148916 | — | OR |