Healthcare Provider Details

I. General information

NPI: 1942071006
Provider Name (Legal Business Name): CENTRAL DOUGLAS FIRE & RESCUE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SE MAIN ST
WINSTON OR
97496-6566
US

IV. Provider business mailing address

PO BOX 1060
WINSTON OR
97496-1060
US

V. Phone/Fax

Practice location:
  • Phone: 541-673-5503
  • Fax:
Mailing address:
  • Phone: 541-673-5503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State

VIII. Authorized Official

Name: MARGIE GIUSTO
Title or Position: ADMINISTRATION
Credential:
Phone: 541-679-8721