Organization
NORTHWEST REGIONAL, INC.
Active
Other names
Secure Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE JORGENSEN (CEO)
(541) 438-4104
Entity
Organization
Contact information
Practice address
7339 HARLAN BURNTWOODS RD, SUITE 100, BLODGETT, OR 97326-9720
(541) 438-4104
Mailing address
PO BOX 4774, PORTLAND, OR 97208-4774
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228877
—
OR
Enumeration date
10/17/2006
Last updated
08/22/2020
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