Provider Demographics
NPI:1720572480
Name:TUCKER & FISHER MANAGEMENT LLC
Entity Type:Organization
Organization Name:TUCKER & FISHER MANAGEMENT LLC
Other - Org Name:WHITE RABBIT TRANSIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-852-0084
Mailing Address - Street 1:8567 N OSWEGO AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-3140
Mailing Address - Country:US
Mailing Address - Phone:360-852-0084
Mailing Address - Fax:
Practice Address - Street 1:8567 N OSWEGO AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-3140
Practice Address - Country:US
Practice Address - Phone:360-852-0084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)