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Organization

WALLOWA COUNTY ESD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD JENSEN (SUPERINTENDENT)
(541) 426-4997
Entity
Organization

Contact information

Practice address
107 SW 1ST ST STE 105, ENTERPRISE, OR 97828-1285
(541) 426-4997
(514) 426-3732
Mailing address
107 SW 1ST ST STE 105, ENTERPRISE, OR 97828-1285
(541) 426-4997
(514) 426-3732

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127881
OR
Enumeration date
07/03/2006
Last updated
08/22/2020
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