Organization
METRO WEST AMBULANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D FUITEN (PRESIDENT)
(503) 648-6658
Entity
Organization
Contact information
Practice address
5475 NE DAWSON CREEK DR, HILLSBORO, OR 97124-5797
(503) 648-6658
(503) 693-3216
Mailing address
609 NW COAST ST, NEWPORT, OR 97365-3409
(503) 648-6658
(503) 693-3216
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006214000
REGENCE BCBS OF OREGON
UT
01
—
0441184
ACS CLAIMS
AZ
01
—
112433
KAISER
TX
05
—
121590
—
OR
01
—
191618800
DEPT OF LABOR & INDUSTRY
WA
01
—
331391
PROVIDENCE HEALTH PLAN
OR
05
—
346793
—
AZ
01
—
448760
CHAMPUS TRICARE
WI
01
—
626457
ANTHEM BCBS
VA
01
—
8100204
UNITED HEALTH CARE
GA
01
—
8100209
EVERCARE
TX
01
—
8940085
CRIME VICTIMS COMP PROGRA
WA
05
—
9124504
—
WA
05
—
A112001
—
ID
05
—
GA3490R
—
AK
01
—
OR0000D100344
STATE OF WA LABOR & IND.
WA
05
—
TX3490R
—
AK
05
—
XMTE06264
—
CA
Enumeration date
01/23/2007
Last updated
09/28/2021
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