MEDICARE: KNAPPA SCHOOL DISTRICT 4

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1457224057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNAPPA SCHOOL DISTRICT 4

Provider Business Mailing Address
First Line	:	41535 OLD HIGHWAY 30
Second Line	:
City	:	ASTORIA
State	:	OR
Zip	:	97103-8640
Country	:	US
Telephone Number	:	503-458-5993
Fax Number	:

Provider Business Practice Location Address
First Line	:	41535 OLD HIGHWAY 30
Second Line	:
City	:	ASTORIA
State	:	OR
Zip	:	97103-8640
Country	:	US
Telephone Number	:	503-458-5993
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF STUDENT SERVICES
Name	:	BRITTANY NORTON
Credential	:
Telephone Number	:	503-458-5993

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “KNAPPA SCHOOL DISTRICT 4 ” Practice Location

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