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
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