Provider Demographics
NPI:1053480806
Name:PAISLEY DISASTER UNIT
Entity Type:Organization
Organization Name:PAISLEY DISASTER UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-419-4012
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:PAISLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97636-0208
Mailing Address - Country:US
Mailing Address - Phone:541-419-4012
Mailing Address - Fax:
Practice Address - Street 1:1011 COTTONWOOD
Practice Address - Street 2:
Practice Address - City:PAISLEY
Practice Address - State:OR
Practice Address - Zip Code:97636
Practice Address - Country:US
Practice Address - Phone:541-882-6984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORE179847341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR278646Medicaid