Organization
CASCADE MEDICAL TRANSPORT OF OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIXIE LYNN HANNON (OWNER)
(503) 508-7950
Entity
Organization
Contact information
Practice address
5385 NE 15TH DRIVE, REDMOND, OR 97756
(541) 408-2855
(541) 504-4516
Mailing address
P.O. BOX 5486, BEND, OR 97708
(503) 508-7950
(541) 504-4516
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC0500651525
—
OR
Enumeration date
09/12/2012
Last updated
07/22/2022
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