Organization
WILLAMETTE VALLEY TRANSPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY F MCCLAIN (PRESIDENT)
(503) 569-5944
Entity
Organization
Contact information
Practice address
10320 SE HWY 212, CLACKAMAS, OR 97015-9730
(503) 939-4050
(503) 939-4050
Mailing address
1440 13TH ST SE, SALEM, OR 97302-2514
(503) 569-7070
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233330
—
OR
Enumeration date
07/27/2006
Last updated
02/14/2023
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