# TUALATIN VALLEY FIRE & RESCUE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TUALATIN VALLEY FIRE & RESCUE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467879858
- **Legal business name:** TUALATIN VALLEY FIRE & RESCUE
- **Authorized official:** MICHAEL R. DUYCK (FIRE CHIEF)
- **Authorized official phone:** (503) 649-8577

## Contact information

- **Practice address:** 11945 SW 70TH AVE, TIGARD, OR 97223-9196
- **Practice address phone:** (503) 649-8577
- **Practice address fax:** (503) 649-5347
- **Mailing address:** 11945 SW 70TH AVE, TIGARD, OR 97223-9196
- **Mailing address phone:** (503) 649-8577
- **Mailing address fax:** (503) 649-5347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3402 | OR | Yes |

## Other

- **Enumeration date:** 03/24/2014
- **Last updated:** 03/24/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3402 | DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM | OR |
| 01 | — | E247005 | AMBULANCE CERTIFICATION, DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM | OR |
| 01 | — | E247006 | AMBULANCE CERTIFICATION, DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM | OR |
| 01 | — | E247619 | AMBULANCE CERTIFICATION, DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM | OR |
| 01 | — | E247641 | AMBULANCE CERTIFICATION, DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM | OR |