Provider Demographics
NPI:1306395298
Name:PARTINGTON, CHAD (EMT-PARAMEDIC)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:PARTINGTON
Suffix:
Gender:M
Credentials:EMT-PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2261 S 6TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-3484
Mailing Address - Country:US
Mailing Address - Phone:541-281-9405
Mailing Address - Fax:
Practice Address - Street 1:2261 S 6TH ST STE 2
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-3484
Practice Address - Country:US
Practice Address - Phone:541-281-9405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR130297146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic