Organization
SANTIAM CANYON SCHOOL DISTRICT 129J
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE NIELSEN (BUSINESS MANAGER)
(503) 897-2321
Entity
Organization
Contact information
Practice address
150 SW EVERGREEN STREET, MILL CITY, OR 97360-0197
(503) 897-2321
(503) 897-4004
Mailing address
150 SW EVERGREEN STREET, PO BOX 197, MILL CITY, OR 97360-0197
(503) 897-2321
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168464
—
OR
Enumeration date
10/12/2006
Last updated
08/22/2020
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