# MOLALLA RURAL FIRE PROTECTION DISTRICT 73

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

## Provider details

- **NPI number:** 1780759720
- **Authorized official:** VINCENT STAFFORD (CHIEF)
- **Authorized official phone:** (503) 829-2200

## Contact information

- **Practice address:** 320 N MOLALLA AVE, MOLALLA, OR 97038-8840
- **Practice address phone:** (503) 829-2200
- **Practice address fax:** (503) 829-6392
- **Mailing address:** PO BOX 655, MOLALLA, OR 97038-0655
- **Mailing address phone:** (503) 829-2200
- **Mailing address fax:** (503) 829-6392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0304 | OR | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 12/17/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119560 | — | OR |