Organization
PORTLAND PS PIONEER PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN KIRBY (CONTROLLER)
(503) 916-3369
Entity
Organization
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-2123
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-2123
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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