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Organization

PACIFIC NORTHWEST MEDICAL TRANSPORT SERVICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN TYLER PHILL (PRESIDENT)
(503) 798-1824
Entity
Organization

Contact information

Practice address
2752 HOOVER AVE NW, SALEM, OR 97304-3780
(503) 789-1824
(503) 385-1300
Mailing address
PO BOX 6053, SALEM, OR 97304-0257
(503) 798-1824
(503) 385-1300

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
05/23/2022
Last updated
05/23/2022
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