Provider Demographics
NPI:1215701545
Name:CITY OF CORNELIUS
Entity type:Organization
Organization Name:CITY OF CORNELIUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-357-9112
Mailing Address - Street 1:1355 N BARLOW ST
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:OR
Mailing Address - Zip Code:97113-8912
Mailing Address - Country:US
Mailing Address - Phone:503-357-9112
Mailing Address - Fax:503-357-7775
Practice Address - Street 1:1311 N BARLOW ST
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:OR
Practice Address - Zip Code:97113-8912
Practice Address - Country:US
Practice Address - Phone:503-357-3840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport