# WESTERN LANE AMBULANCE DISTRICT

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

## Provider details

- **NPI number:** 1750372553
- **Authorized official:** ROBERT CHANCE (DEPUTY CHIEF)
- **Authorized official phone:** (541) 997-3212

## Contact information

- **Practice address:** 410 9TH ST, FLORENCE, OR 97439-7398
- **Practice address phone:** (541) 997-9614
- **Practice address fax:** (541) 997-2995
- **Mailing address:** PO BOX 3510, SILVERDALE, WA 98383-3510
- **Mailing address phone:** (360) 394-7020
- **Mailing address fax:** (360) 394-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2003-05 | OR | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 08/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 209536 | — | OR |