Healthcare Provider Details

I. General information

NPI: 1942273818
Provider Name (Legal Business Name): SHERIDAN FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 SW MILL ST
SHERIDAN OR
97378-1729
US

IV. Provider business mailing address

230 SW MILL ST
SHERIDAN OR
97378-1729
US

V. Phone/Fax

Practice location:
  • Phone: 503-843-2467
  • Fax: 503-843-4691
Mailing address:
  • Phone: 503-843-2467
  • Fax: 503-843-4691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3614
License Number StateOR

VIII. Authorized Official

Name: PHILLIP D RIGGS
Title or Position: FIRE CHIEF
Credential:
Phone: 503-843-2467