Provider Demographics
NPI:1134012677
Name:MY OREGON RIDE LLC
Entity type:Organization
Organization Name:MY OREGON RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ZAMO
Authorized Official - Middle Name:
Authorized Official - Last Name:BEBANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-561-5714
Mailing Address - Street 1:12070 SW FISCHER RD APT A108
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97224-2327
Mailing Address - Country:US
Mailing Address - Phone:253-561-5714
Mailing Address - Fax:
Practice Address - Street 1:12070 SW FISCHER RD APT A108
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97224-2327
Practice Address - Country:US
Practice Address - Phone:253-561-5714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)