Organization
PORTLAND PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH THIELMAN (MEDICAID PROGRAM MANAGER)
(971) 288-9081
Entity
Organization
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000
(000) 000-0000
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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