Provider Demographics
NPI:1578026613
Name:SERVE ALL OREGON MEDICAL TRANSPORTATION, LLP
Entity Type:Organization
Organization Name:SERVE ALL OREGON MEDICAL TRANSPORTATION, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAFEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:QADIR
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:971-712-8272
Mailing Address - Street 1:1035 SW 163RD AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-6819
Mailing Address - Country:US
Mailing Address - Phone:971-712-8272
Mailing Address - Fax:
Practice Address - Street 1:1035 SW 163RD AVE APT 204
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-6819
Practice Address - Country:US
Practice Address - Phone:971-712-8272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-06
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)