OrganizationActive
Bonanza Quick Response Team
NPI 1336218189 · Ambulance · Bonanza, OR
Provider details
- NPI number
- 1336218189
- Entity type
- Organization
- Primary specialty
- AmbulanceTransportation Services
- Parent organization
- Bonanza Quick Response Team
- Organization subpart
- Yes
- Authorized official
- Pamela Wiersma, President(541) 892-8106
- License
- T520620 (OR)
Specialties & taxonomies
Transportation Services
Practice location
3100 E. Langell Valley Rd.
Bonanza, OR 97623
Phone: (541) 892-5537
Fax: (541) 545-6553
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 363
Bonanza, OR 97623
Other names (DBA / former)
- Former legal business name
- Bonanza Ambulance
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2016-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.