Healthcare Provider Details

I. General information

NPI: 1053220699
Provider Name (Legal Business Name): CAMAS-WASHOUGAL FIRE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 NW PARKER ST
CAMAS WA
98607-8810
US

IV. Provider business mailing address

4321 NW PARKER ST
CAMAS WA
98607-8810
US

V. Phone/Fax

Practice location:
  • Phone: 208-867-8790
  • Fax:
Mailing address:
  • Phone: 208-867-8790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: SHAUN FORD
Title or Position: DIVISION CHIEF
Credential:
Phone: 208-867-8790