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NPI Code Detail

MEDICARE: JGL CARE MOBILITY LLC

MEDICARE: JGL CARE MOBILITY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1346196532
Entity Type Code : Organization
Provider Name (Legal Business Name) : JGL CARE MOBILITY LLC
Provider Business Mailing Address
First Line : 31015 NW NORTH AVE
Second Line :
City : NORTH PLAINS
State : OR
Zip : 97133-6320
Country : US
Telephone Number : 971-266-1892
Fax Number :
Provider Business Practice Location Address
First Line : 31015 NW NORTH AVE
Second Line :
City : NORTH PLAINS
State : OR
Zip : 97133-6320
Country : US
Telephone Number : 971-266-1892
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JOSE LUIS MARTINEZ LARREAL
Credential :
Telephone Number : 971-266-1892
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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