Organization
CANBY FIRE DISTRICT 62
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW S DALE (DIVISION CHIEF, EMS & SAFETY)
(503) 263-4251
Entity
Organization
Contact information
Practice address
221 S PINE ST, CANBY, OR 97013-4525
(503) 266-5851
(503) 266-1320
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7010
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0318
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073817
—
OR
Enumeration date
07/16/2006
Last updated
12/09/2016
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