Clackamas County Fire District 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0320 Issued in OR

Legal business name

CLACKAMAS COUNTY FIRE DISTRICT 1

Practice address

11300 SE Fuller Rd
Milwaukie, OR 97222-1124

Phone

(503) 742-2600

Fax

(503) 742-2800

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Richard Huffman

Title

Medical Services Division Chief

Phone

(503) 742-2600

Specialties & licenses 1

Addresses

Other names 1

• Clackamas Fire District #1 Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1396156733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 SE FULLER RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972221124",
            "telephone_number": "503-742-2600",
            "fax_number": "503-742-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 SE FULLER RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972221124",
            "telephone_number": "503-742-2600",
            "fax_number": "503-742-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS COUNTY FIRE DISTRICT 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL SERVICES DIVISION CHIEF",
        "authorized_official_telephone_number": "503-742-2600"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "0320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clackamas Fire District #1",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Clackamas Fire District #1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Christensen, LMT
• Kinjal Christian
• Francis Ian Ireneo Chua, PT PHYSICAL THERAPIS
• Kenneth L Chung, DDS, MPH
• Soyong Gabrielle Chung, OT
• Clackamas Education Service District Ei Ecse
• Clackamas Speech LLC
• Kasey Lynn Clark, PHYSICAL THERAPIST
• Phillip Clark, PTA
• Geoffrey Richard Clive, D.D.S.

• Land Ambulance in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.