Organization
PREMIER JETS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RENHARD (GENERAL MANAGER)
(503) 640-2927
Entity
Organization
Contact information
Practice address
2140 NE 25TH AVE, HILLSBORO, OR 97124-5962
(503) 640-2927
(503) 681-3064
Mailing address
PO BOX 928, HILLSBORO, OR 97123-0928
(503) 640-2927
(503) 681-3064
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
3406
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000RGCMW
—
OR
01
—
120154
KAISER PERMANENTE
OR
05
—
R000RCGMW
—
OR
Enumeration date
04/10/2007
Last updated
02/16/2024
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