Healthcare Provider Details

I. General information

NPI: 1902711419
Provider Name (Legal Business Name): LANE COUNTY SCHOOL DIST 32
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10868 E MAPLETON RD
MAPLETON OR
97453-9603
US

IV. Provider business mailing address

10868 E MAPLETON RD
MAPLETON OR
97453-9603
US

V. Phone/Fax

Practice location:
  • Phone: 541-268-4312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: JERON RICKS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 541-268-4312