Northwest Wade Corporation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

NORTHWEST WADE CORPORATION

Practice address

9807 SE Ash St
Portland, OR 97216

Phone

(503) 241-7283

Fax

(503) 246-2155

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Junita J Kauble

Title

Owner

Phone

(503) 241-7283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Ambulance Doing business as

Locations

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1205315488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 16098",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9807 SE ASH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "503-241-7283",
            "fax_number": "503-246-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST WADE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "KAUBLE",
        "authorized_official_first_name": "JUNITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-241-7283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149187",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Urology, LLC
• Northwest Vascular Consultants Inc
• Northwest Vein Specialists, P.C.
• Northwest Vitality Group
• Northwest Wade Corporation
• Northwest Women'S Clinic, PC
• Northwestern Neurological Assoc PC
• Northwoods Dental, LLC
• Amanda Leigh Norton, ND
• Doreen Olivia Norton, LCSW

• Non-emergency Medical Transport (VAN) in Portland, OR
• Providers in Portland, OR by specialty
• Non-emergency Medical Transport (VAN) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.