Organization
AJ MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TRYBOM (PRESIDENT)
(503) 702-5043
Entity
Organization
Contact information
Practice address
11907 SW LAUSANNE ST, WILSONVILLE, OR 97070-7328
(503) 702-5043
Mailing address
11907 SW LAUSANNE ST, WILSONVILLE, OR 97070-7328
(503) 702-5043
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9322553
OR
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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