Organization · Type 2 NPI

Northwest Wade Corporation

Land Ambulance · Portland, OR

NPI number 1033231709 Active

Practice location

9807 SE Ash St
Portland, OR 97216

Fax (503) 246-2155

Mailing address

PO Box 16098
Portland, OR 97292

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X383936 (OR)
Non-emergency Medical Transport (VAN) 343900000X383936 (OR)

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About NPI 1033231709

Northwest Wade Corporation's National Provider Identifier is 1033231709, issued on Apr 4, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Portland, OR. The record was last updated on Sep 6, 2012.