Provider Demographics
NPI:1396156733
Name:CLACKAMAS COUNTY FIRE DISTRICT 1
Entity type:Organization
Organization Name:CLACKAMAS COUNTY FIRE DISTRICT 1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL SERVICES DIVISION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-742-2600
Mailing Address - Street 1:11300 SE FULLER RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-1124
Mailing Address - Country:US
Mailing Address - Phone:503-742-2600
Mailing Address - Fax:503-742-2800
Practice Address - Street 1:11300 SE FULLER RD
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-1124
Practice Address - Country:US
Practice Address - Phone:503-742-2600
Practice Address - Fax:503-742-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR03203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport