Healthcare Provider Details

I. General information

NPI: 1457260754
Provider Name (Legal Business Name): DOUGLAS COUNTY SCHOOL DISTRICT 34
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15656 HWY 38
ELKTON OR
97436-9734
US

IV. Provider business mailing address

PO BOX 390
ELKTON OR
97436-0390
US

V. Phone/Fax

Practice location:
  • Phone: 541-584-2115
  • Fax: 541-584-2113
Mailing address:
  • Phone: 541-584-2115
  • Fax: 541-584-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ANDY BOE
Title or Position: SUPERINTENDENT
Credential:
Phone: 541-315-1610