=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467373175
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LANE COUNTY SCHOOL DIST 32
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2026
-----------------------------------------------------
Last Update Date | 07/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10868 E MAPLETON RD
-----------------------------------------------------
City | MAPLETON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97453-9603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-268-4312
-----------------------------------------------------
Fax | 541-268-9919
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10868 E MAPLETON RD
-----------------------------------------------------
City | MAPLETON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97453-9603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-268-4312
-----------------------------------------------------
Fax | 541-268-9919
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS MANAGER
-----------------------------------------------------
Name | JERON RICKS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 541-268-4312
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------