Healthcare Provider Details

I. General information

NPI: 1841107992
Provider Name (Legal Business Name): COLUMBIA COUNTY SD #502
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2774 COLUMBIA BLVD
SAINT HELENS OR
97051-2727
US

IV. Provider business mailing address

474 N 16TH ST
SAINT HELENS OR
97051-1340
US

V. Phone/Fax

Practice location:
  • Phone: 503-366-7235
  • Fax: 503-366-7706
Mailing address:
  • Phone: 503-366-7235
  • Fax: 503-397-1907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JEN NELSON
Title or Position: STUDENT SERVICES COORDINATOR
Credential:
Phone: 503-366-7235