NPIMap

Organization Active NPI

Protech Automotive Inc

  • Non-emergency Medical Transport (VAN)
  • Milwaukie, OR
National Provider Identifier
1114305166
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
917 GWN Issued in OR
Legal business name
PROTECH AUTOMOTIVE INC
Practice address
10883 SE Main St
Suite 203
Milwaukie, OR 97222-7641
Phone
(503) 334-4638
Fax
(888) 834-1688
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tiffany Staudenmier
Title
President
Phone
(503) 334-6738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 917 GWN OR Primary

Addresses

Primary practice location

10883 SE Main St
Suite 203
Milwaukie, OR 97222-7641

Mailing address

10883 SE Main St
Suite 203
Milwaukie, OR 97222-7641
Phone (503) 334-4638

National Provider Directory

National Provider Directory

Locations

10883 SE Main St
Ste 203
Milwaukie, OR 97222
Phone (503) 334-4638

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1114305166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10883 SE MAIN ST",
            "address_2": "SUITE 203",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227641",
            "telephone_number": "503-334-4638",
            "fax_number": "888-834-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10883 SE MAIN ST",
            "address_2": "SUITE 203",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227641",
            "telephone_number": "503-334-4638",
            "fax_number": "888-834-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTECH AUTOMOTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "STAUDENMIER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-334-6738"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OR",
            "license": "917 GWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.