Organization
PACIFIC COUNTY FIRE PROTECTION DISTRICT 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BRUNDAGE (FIRE CHIEF)
(360) 665-4451
Entity
Organization
Contact information
Practice address
26109 RIDGE AVE, OCEAN PARK, WA 98640
(360) 665-4451
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
25D01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124426
L&I AND CRIME VICTIMS
WA
05
—
299915
—
OR
05
—
9045949
—
WA
01
—
PA5887
REGENCE
WA
Enumeration date
02/16/2006
Last updated
10/18/2012
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