Organization
TLC MEDICAL TRANSPORT, INC
Active
Other names
TLC Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD LEROY CRITES (PRESIDENT)
(503) 991-3920
Entity
Organization
Contact information
Practice address
2475 LANCASTER DR NE STE 1, SALEM, OR 97305-4264
(503) 509-6406
Mailing address
PO BOX 133046, TYLER, TX 75713-3046
(503) 991-3920
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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