Organization
KING COUNTY FIRE DISTRICT NO 45
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MOFFATT (ACTING CHIEF)
(425) 788-1625
Entity
Organization
Contact information
Practice address
15600 1ST AVE NE, DUVALL, WA 98019-6431
(425) 788-1625
(425) 788-0199
Mailing address
PO BOX 338, DUVALL, WA 98019-0338
(425) 788-1625
(425) 788-1625
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
05/26/2023
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