Organization
WALLA WALLA COUNTY FIRE PROTECTION DISTRICT NO 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WICKSTROM (FIRE CHIEF)
(509) 547-8341
Entity
Organization
Contact information
Practice address
460 WEST HUMORIST ROAD, BURBANK, WA 99323
(509) 547-8341
(509) 547-3533
Mailing address
460 WEST HUMORIST ROAD, BURBANK, WA 99323
(509) 547-8341
(509) 547-3533
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
341600000X
Ambulance
36D05
WA
341600000X
Ambulance
601138641
WA
Other
Enumeration date
12/28/2005
Last updated
03/20/2013
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