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Fire Departments | |
| Clatskanie Fire District | (Clatskanie FD) |
| Scappoose Fire District | (Scappoose FD) |
| Vernonia Rural Fire District | (Vernonia Rural FD) |
Combination Fire Departments | |
| Columbia River Fire and Rescue | (Columbia River F/R) |
Volunteer Fire Departments | |
| Mist-Birkenfeld Rural Fire Protection District | (Mist-Birkenfeld RFPD) |
Emergency Medical Services Provider | |
| Metro West Ambulance | (Metro West Ambulance) |