Organization
MOLALLA RURAL FIRE PROTECTION DISTRICT 73
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT STAFFORD (CHIEF)
(503) 829-2200
Entity
Organization
Contact information
Practice address
320 N MOLALLA AVE, MOLALLA, OR 97038-8840
(503) 829-2200
(503) 829-6392
Mailing address
PO BOX 655, MOLALLA, OR 97038-0655
(503) 829-2200
(503) 829-6392
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0304
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119560
—
OR
Enumeration date
11/22/2006
Last updated
12/17/2012
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