Provider Demographics
NPI:1306286075
Name:TRIMET
Entity type:Organization
Organization Name:TRIMET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION BROKERAGE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAUHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-962-8215
Mailing Address - Street 1:2800 NW NELA ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-1716
Mailing Address - Country:US
Mailing Address - Phone:503-962-8215
Mailing Address - Fax:503-962-8250
Practice Address - Street 1:2800 NW NELA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-1716
Practice Address - Country:US
Practice Address - Phone:503-962-8215
Practice Address - Fax:503-962-8250
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIMET
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR282145347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR282145Medicaid