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NPI Code Detail

MEDICARE: CLACKAMAS COUNTY SCHOOL DISTRICT 7

MEDICARE: CLACKAMAS COUNTY SCHOOL DISTRICT 7
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1891234555
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLACKAMAS COUNTY SCHOOL DISTRICT 7
Provider Business Mailing Address
First Line : PO BOX 70
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97034-0070
Country : US
Telephone Number : 503-534-2000
Fax Number : 503-534-2030
Provider Business Practice Location Address
First Line : 2455 COUNTRY CLUB RD
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97034-2024
Country : US
Telephone Number : 503-534-2359
Fax Number : 503-534-2370
Authorized Official
Title or Position : EXECUTIVE DIRECTOR OF FINANACE
Name : MR. STUART A. KETZLER
Credential :
Telephone Number : 503-534-2308
Provider Enumeration Date : 02/14/2017
Last Update Date : 02/14/2017

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Directions to “CLACKAMAS COUNTY SCHOOL DISTRICT 7 ” Practice Location

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