Organization
SOVEREIGN MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL SOVEREIGN (OPERATIONS MANAGER)
(503) 208-6350
Entity
Organization
Contact information
Practice address
125 E CLARENDON ST, GLADSTONE, OR 97027-2427
(503) 744-2300
Mailing address
PO BOX 779, OREGON CITY, OR 97045-0779
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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