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Organization

COLUMBIA GORGE EDUCATION SERVICE DISTRICT

Active
Other names
Region 9 Educational Service District
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE MILLER MD (DIRECTOR OF STUDENT SERVICES)
(541) 298-5156
Entity
Organization

Contact information

Practice address
1721 W 10TH STREET, THE DALLES, OR 97058
(541) 298-5155
(541) 296-2965
Mailing address
400 EAST SCENIC DR, SUITE 207, THE DALLES, OR 97058
(541) 298-5155
(541) 296-2965

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
#170131
OR
01
170131
DMAP ID NO
Enumeration date
10/24/2006
Last updated
04/08/2008
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