Organization
MIDAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAGMAWI KASSA (MEMBER/ DISPATCHER)
(971) 337-5310
Entity
Organization
Contact information
Practice address
10590 SE CHERRY BLOSSOM DR APT 59, PORTLAND, OR 97216-2851
(971) 337-5310
Mailing address
10590 SE CHERRY BLOSSOM DR APT 59, PORTLAND, OR 97216-2851
(971) 337-5310
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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