Provider Demographics
NPI:1881382927
Name:MEDTREE TRANSPORTATION LLC
Entity type:Organization
Organization Name:MEDTREE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-790-9521
Mailing Address - Street 1:31303 107TH PL SE APT F1
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-3092
Mailing Address - Country:US
Mailing Address - Phone:916-301-3969
Mailing Address - Fax:
Practice Address - Street 1:10909 OAKWOOD AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-2706
Practice Address - Country:US
Practice Address - Phone:206-790-9521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)