Organization
CENTRAL CASCADES FIRE & EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY R CARLSON EMT- BASIC (EMS DIRECTOR)
(541) 433-2800
Entity
Organization
Contact information
Practice address
20400 CRESCENT LAKE HWY, CRESCENT LAKE, OR 97733-7044
(541) 433-2800
Mailing address
PO BOX 1065, CRESCENT LAKE, OR 97733-1065
(541) 433-2800
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
133419
OR
146N00000X
Basic Emergency Medical Technician
134610
OR
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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