Organization
DOUGLAS OKANOGAN COUNTY FIRE DISTRICT 15
Active
Organization
DOUGLAS OKANOGAN COUNTY FIRE DISTRICT 15
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA VALLANCE (DIRECTOR OF SERVICES)
(509) 689-4041
Entity
Organization
Contact information
Practice address
412 W. INDIAN AVE, BREWSTER, WA 98812-0490
(509) 689-4041
(509) 689-0901
Mailing address
412 W. INDIAN AVE, PO BOX 490, BREWSTER, WA 98812-0490
(509) 689-4041
(509) 689-0901
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
24D15
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094585
L & I PROVIDER NUMBER
WA
05
—
9006040
—
WA
Enumeration date
10/17/2006
Last updated
03/17/2008
Update your record
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