=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457260754
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOUGLAS COUNTY SCHOOL DISTRICT 34
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2026
-----------------------------------------------------
Last Update Date | 09/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15656 HWY 38
-----------------------------------------------------
City | ELKTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97436-9734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-584-2115
-----------------------------------------------------
Fax | 541-584-2113
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 390
-----------------------------------------------------
City | ELKTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97436-0390
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-584-2115
-----------------------------------------------------
Fax | 541-584-2113
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | ANDY BOE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 541-315-1610
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------