Organization
AMERICAN MEDICAL RESPONSE NORTHWEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
603 ROYAL ST, KELSO, WA 98626-1122
(360) 750-4679
Mailing address
PO BOX 749667, LOS ANGELES, CA 90074-9667
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044634
—
WA
Enumeration date
09/14/2006
Last updated
09/15/2025
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