# CITY OF FOREST GROVE ATTN:PAYROLL CLERK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Grove Fire and Rescue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689952384
- **Authorized official:** MICHAEL KINKADE PARAMEDIC (FIRE CHIEF)
- **Authorized official phone:** (503) 992-3240

## Contact information

- **Practice address:** 1919 ASH ST, FOREST GROVE, OR 97116-2426
- **Practice address phone:** (503) 992-3240
- **Practice address fax:** (503) 992-3243
- **Mailing address:** PO BOX 326, FOREST GROVE, OR 97116-0326
- **Mailing address phone:** (503) 992-3240
- **Mailing address fax:** (503) 992-3243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | E229754 | OR | Yes |

## Other

- **Enumeration date:** 07/28/2011
- **Last updated:** 04/04/2013
