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Organization

COLUMBIA GORGE EDUCATION SERVICE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY PETERSON (SUPERINTENDENT)
(541) 296-5530
Entity
Organization

Contact information

Practice address
1721 W 10TH ST, THE DALLES, OR 97058-3643
(541) 296-1478
Mailing address
400 E SCENIC DR, SUITE #207, THE DALLES, OR 97058-3434

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
03/30/2010
Last updated
03/30/2010
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