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Organization

BLACK BUTTE RANCH RURAL FIRE PROTECTION DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAN TUCKER (CHIEF)
(541) 595-2288
Entity
Organization

Contact information

Practice address
13511 HAWKS BEARD, BLACK BUTTE RANCH, OR 97759
(541) 595-2288
(541) 595-6867
Mailing address
PMB 8190 PO BOX 8000, BLACK BUTTE RANCH, OR 97759
(541) 595-2288
(541) 595-6867

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
0904-06
OR
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
08/19/2005
Last updated
08/13/2021
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