Organization
TUALATIN VALLEY FIRE & RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIC WEISS (FIRE CHIEF)
(503) 259-1129
Entity
Organization
Contact information
Practice address
11945 SW 70TH AVE, TIGARD, OR 97223-9196
(503) 259-1129
(503) 259-1129
Mailing address
11945 SW 70TH AVE, TIGARD, OR 97223-9196
(503) 649-8577
(503) 649-5347
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3402
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3402
DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM
OR
01
—
E247005
AMBULANCE CERTIFICATION, DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM
OR
01
—
E247006
AMBULANCE CERTIFICATION, DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM
OR
01
—
E247619
AMBULANCE CERTIFICATION, DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM
OR
01
—
E247641
AMBULANCE CERTIFICATION, DEPT. OF HUMAN SERVICES EMS & TRAUMA SYSTEM PROGRAM
OR
Enumeration date
01/24/2012
Last updated
08/22/2023
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