Northwest Regional, Inc.

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

NORTHWEST REGIONAL, INC.

Practice address

7339 Harlan Burntwoods Rd
Suite 100
Blodgett, OR 97326-9720

Phone

(541) 438-4104

NPI assigned

Oct 17, 2006

Organization subpart

No

Name

Mr. Steve Jorgensen

Title

Ceo

Phone

(541) 438-4104

• Secure Transportation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235210550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4774",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7339 HARLAN BURNTWOODS RD",
            "address_2": "SUITE 100",
            "city": "BLODGETT",
            "state": "OR",
            "postal_code": "973269720",
            "telephone_number": "541-438-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST REGIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-438-4104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228877",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secure Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Marie McBride
• Ibrahim Moussaoui, DO
• Karen Ring, FNTP

• All providers in Blodgett, OR
• Secured Medical Transport (VAN) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.