=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558843615
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARLINGTON SCHOOL DISTRICT #3
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2018
-----------------------------------------------------
Last Update Date | 09/05/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1200 MAIN ST
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97812-0010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-454-2632
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 10
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97812-0010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-454-2632
-----------------------------------------------------
Fax | 541-454-2134
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | TRANSPORTATION SECRETARY
-----------------------------------------------------
Name | MRS. KAYLA R RAYBURN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 541-454-2632
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------