Healthcare Provider Details

I. General information

NPI: 1477438513
Provider Name (Legal Business Name): BENJAMIN ADAM CLIMER EMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 DOUGLAS ST
PASADENA CA
91104-3526
US

IV. Provider business mailing address

392 DOUGLAS ST
PASADENA CA
91104-3526
US

V. Phone/Fax

Practice location:
  • Phone: 503-580-5759
  • Fax:
Mailing address:
  • Phone: 503-580-5759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberE192926
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: