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Organization

OLYMPIC OESD114

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALT BIGBY (SUPERINTENDENT)
(360) 405-5843
Entity
Organization

Contact information

Practice address
2000 ALLEN ST, KELSO, WA 98626-5002
(360) 405-5843
(360) 782-5081
Mailing address
105 NATIONAL AVE N, BREMERTON, WA 98312-3537
(360) 405-5843
(360) 782-5081

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1991231
WA
Enumeration date
05/15/2007
Last updated
07/21/2022
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