Organization
NORTHWEST REGIONAL EDUCATION SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON TANNLER RN (DISTRICT NURSE)
(503) 941-8120
Entity
Organization
Contact information
Practice address
14255 SW BRIGADOON CT, BEAVERTON, OR 97005-3369
(503) 941-8120
Mailing address
14255 SW BRIGADOON CT, BEAVERTON, OR 97005-3369
(503) 941-8120
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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