Organization
LIANA MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDISALEM DESALEGN FUILISO (OWNER)
(513) 570-3862
Entity
Organization
Contact information
Practice address
117 NE 201ST AVE, PORTLAND, OR 97230-8062
(513) 570-3862
Mailing address
117 NE 201ST AVE, PORTLAND, OR 97230-8062
(513) 570-3862
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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