Healthcare Provider Details

I. General information

NPI: 1871569871
Provider Name (Legal Business Name): CLALLAM COUNTY FIRE PROTECTION DISTRICT NO 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 02/23/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 E 1ST ST
PORT ANGELES WA
98362-4302
US

IV. Provider business mailing address

PO BOX 3510
SILVERDALE WA
98383-3510
US

V. Phone/Fax

Practice location:
  • Phone: 360-457-2550
  • Fax:
Mailing address:
  • Phone: 360-394-7030
  • Fax: 360-394-7097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number05D02
License Number StateWA

VIII. Authorized Official

Name: JAKE PATTERSON
Title or Position: FIRE CHIEF
Credential:
Phone: 360-457-2550