Organization
DOUGLAS EDUCATION SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA TAYLOR (COORDINATOR)
(541) 440-4752
Entity
Organization
Contact information
Practice address
691 MURPHY ROAD, SUITE 112, MEDICAL ARTS BUILDING, MEDFORD, OR 97504
(541) 789-5262
Mailing address
1871 NE STEPHENS ST, ROSEBURG, OR 97470-1433
(541) 440-4777
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018700
—
OR
Enumeration date
10/16/2008
Last updated
10/16/2008
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