Organization
UNION-BAKER ESD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L JENNINGS (BUSINESS MANAGER)
(541) 975-5608
Entity
Organization
Contact information
Practice address
10100 N MCALISTER RD, LA GRANDE, OR 97850-8701
(541) 963-4106
Mailing address
10100 N MCALISTER RD, LA GRANDE, OR 97850-8701
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008495
—
OR
Enumeration date
07/02/2006
Last updated
08/22/2020
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