Organization
WILLAMETTE VALLEY MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MCCLAIN (PRESIDENT)
(503) 569-7070
Entity
Organization
Contact information
Practice address
725 RATCLIFF DR SE, SALEM, OR 97302-3236
(503) 569-7070
(877) 560-8416
Mailing address
725 RATCLIFF DR SE, SALEM, OR 97302-3236
(503) 569-7070
(877) 560-8416
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233330
—
OR
Enumeration date
10/30/2009
Last updated
10/30/2009
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