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Organization

NORTHWEST REGIONAL EDUCATION SERVICE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMIRA MONTAGUE (CHIEF FINANCIAL OFFICER)
(503) 614-1253
Entity
Organization

Contact information

Practice address
5825 NE RAY CIR, HILLSBORO, OR 97124-6436
(503) 614-1667
(503) 614-1608
Mailing address
5825 NE RAY CIR, HILLSBORO, OR 97124-6436
(503) 614-1667
(503) 614-1608

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210382
OR
Enumeration date
02/07/2007
Last updated
11/27/2018
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