Organization
DOUGLAS EDUCATION SERVICE DISTRICT
Active
Other names
Douglas ESD
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C GRAHAM M.S., CCC (EI/ECSE REGIONAL DIRECTOR)
(541) 440-4792
Entity
Organization
Contact information
Practice address
1871 NE STEPHENS STRET, ROSEBURG, OR 97470
(541) 440-4777
(541) 440-4771
Mailing address
1871 NE STEPHENS STREET, ROSEBURG, OR 97470
(541) 440-4777
(541) 440-4771
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
OR
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018700
—
OR
05
—
DMAP018700
—
OR
Enumeration date
02/09/2007
Last updated
03/23/2012
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