City of Forest Grove Attn:Payroll Clerk

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

E229754 Issued in OR

Legal business name

CITY OF FOREST GROVE ATTN:PAYROLL CLERK

Doing business as

Forest Grove Fire and Rescue

Practice address

1919 Ash St
Forest Grove, OR 97116-2426

Phone

(503) 992-3240

Fax

(503) 992-3243

NPI assigned

Jul 28, 2011

Organization subpart

No

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

Authorized official

Name

Michael Kinkade, PARAMEDIC

Title

Fire Chief

Phone

(503) 992-3240

Specialties & licenses 1

Addresses

Other names 1

• Forest Grove Fire and Rescue Doing business as

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": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1689952384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971160326",
            "telephone_number": "503-992-3240",
            "fax_number": "503-992-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ASH ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162426",
            "telephone_number": "503-992-3240",
            "fax_number": "503-992-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FOREST GROVE ATTN:PAYROLL CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "KINKADE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "503-992-3240",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "E229754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Grove Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelvin Man Kit Cheung
• Natasha Chrenek
• Claire C Chu, OD
• Lenora Churchill
• Karl Citek, OD, PHD
• Kai Ling Clark
• Christi Lynn Closson
• Hanni Cluny, PHARM.D.
• Anastasia Cohen
• Donald A. Compton, D.M.D.

• Land Ambulance in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.