Organization
ADVANCED LIFE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FUITEN (OWNER)
(503) 648-6658
Entity
Organization
Contact information
Practice address
2106 W WASHINGTON AVE, SUITE #3, YAKIMA, WA 98903-1272
(509) 574-8445
(509) 574-4040
Mailing address
3505 OCEAN BLVD SE, COOS BAY, OR 97420-3537
(541) 266-4300
(541) 267-0831
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
39X05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9041914
—
WA
Enumeration date
05/09/2006
Last updated
09/17/2024
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