Organization
DOUGLAS EDUCATION SERVICE DISTRICT
Active
Other names
Douglas ESD - Klamath Co EI/ECSE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GRAHAM M.S., CCC (EI/ECSE REGIONAL DIRECTOR)
(541) 440-4777
Entity
Organization
Contact information
Practice address
3125 CROSBY AVE, KLAMATH FALLS, OR 97603-5733
(541) 883-4748
Mailing address
1871 NE STEPHENS ST, ROSEBURG, OR 97470-1433
(541) 440-4777
(541) 440-4771
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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