Organization
NOBLE CARE INC
Active
Other names
Noble Ambulance Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANNY CLAIR POLANCO (PRESIDENT)
(503) 742-1692
Entity
Organization
Contact information
Practice address
15140 SE 82ND DR, SUITE 270, CLACKAMAS, OR 97015-9695
(503) 742-1692
(503) 742-1693
Mailing address
PO BOX 2917, CLACKAMAS, OR 97015-2917
(503) 742-1692
(503) 742-1693
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0322-06
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182226
—
OR
05
—
295445
—
OR
Enumeration date
08/31/2005
Last updated
08/22/2020
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