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Organization

EVERGREEN SCHOOL DISTRICT VANCOUVER 114

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CANDACE L BAKER (SPECIAL EDUCATION DIRECTOR)
(360) 604-6700
Entity
Organization

Contact information

Practice address
14619 NE 49TH ST STE B, VANCOUVER, WA 98682-6486
(360) 604-6700
(360) 604-6702
Mailing address
14619 NE 49TH ST STE B, VANCOUVER, WA 98682-6486
(360) 604-6700
(360) 604-6702

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7440365
WA
Enumeration date
10/18/2006
Last updated
08/22/2020
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