Organization
EARLY INTERVENTION EARLY CHILDHOOD SPECIAL EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER RAINEY (SPECIAL EDUCATION DIRECTOR)
(541) 266-3982
Entity
Organization
Contact information
Practice address
1350 TEAKWOOD AVE, COOS BAY, OR 97420
(541) 266-3982
(541) 269-4536
Mailing address
1350 TEAKWOOD AVE, COOS BAY, OR 97420
(541) 266-3982
(541) 269-4536
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132709
—
OR
Enumeration date
10/05/2006
Last updated
08/22/2020
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