Healthcare Provider Details

I. General information

NPI: 1558252585
Provider Name (Legal Business Name): ASSURED RIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 NE 5TH ST
GRESHAM OR
97030-7963
US

IV. Provider business mailing address

1033 NE 5TH ST
GRESHAM OR
97030-7963
US

V. Phone/Fax

Practice location:
  • Phone: 503-473-9329
  • Fax:
Mailing address:
  • Phone: 503-473-9329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SEAN REIS
Title or Position: OWNER
Credential: SEAN REIS
Phone: 503-473-9329