Organization
WAPATO SHORES INC
Active
Other names
Wapato Shores Accessible Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK WAYNE FOSTER (OWNER / CEO)
(503) 268-1706
Entity
Organization
Contact information
Practice address
2330 SE CLATSOP ST, PORTLAND, OR 97202-9001
(503) 268-1706
Mailing address
PO BOX 82333, PORTLAND, OR 97282-0333
(503) 268-1706
(866) 486-6258
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
11/08/2019
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