Organization
ADMINISTRATIVE SCHOOL DISTRICT #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CRAVERIO (EXECUTIVE DIRECTOR OF SPECIAL PROGR)
(541) 383-6051
Entity
Organization
Contact information
Practice address
520 NW WALL ST, BEND, OR 97701-2608
(541) 693-5706
Mailing address
520 NW WALL ST, BEND, OR 97701-2608
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015870
SCHOOL BASED
OR
Enumeration date
06/14/2006
Last updated
10/01/2008
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