Healthcare Provider Details

I. General information

NPI: 1730980103
Provider Name (Legal Business Name): SCIO SCHOOL DISTRICT LINN CO. 95 C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38875 NW 1ST AVE
SCIO OR
97374-9501
US

IV. Provider business mailing address

38875 NW 1ST AVE
SCIO OR
97374-9501
US

V. Phone/Fax

Practice location:
  • Phone: 503-394-3261
  • Fax:
Mailing address:
  • Phone: 503-394-3261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KIMBERLEE ROTH
Title or Position: SUPERINTENDENT
Credential:
Phone: 503-394-3261