Organization
SOUTH LANE COUNTY FIRE AND RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESA DOERRIE (AMBULANCE BILLING CLERK)
(541) 942-4493
Entity
Organization
Contact information
Practice address
233 E HARRISON AVE, COTTAGE GROVE, OR 97424-2473
(541) 942-4493
(541) 942-3367
Mailing address
233 E HARRISON AVE, COTTAGE GROVE, OR 97424-2473
(541) 942-4493
(541) 942-3367
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2002-06
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298510
—
OR
Enumeration date
07/15/2005
Last updated
08/03/2021
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