# ESTACADA RURAL FIRE DISTRICT \#69

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

## Provider details

- **NPI number:** 1871359539
- **Authorized official:** IAN O'CONNOR (FIRE CHIEF)
- **Authorized official phone:** (503) 630-7712

## Contact information

- **Practice address:** 261 SE JEREMY LOVELESS AVE, ESTACADA, OR 97023
- **Practice address phone:** (503) 630-7712
- **Mailing address:** PO BOX 1385, ESTACADA, OR 97023-1385
- **Mailing address phone:** (503) 630-7712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | — | NULL | — |
| 146L00000X | Paramedic | — | — | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | NULL | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | — | — |
| 146N00000X | Basic Emergency Medical Technician | — | NULL | — |
| 146N00000X | Basic Emergency Medical Technician | — | — | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024