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NPI Code Detail

MEDICARE: MULTNOMAH COUNTY SCHOOL DISTRICT U2-20JT

MEDICARE: MULTNOMAH COUNTY SCHOOL DISTRICT U2-20JT
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
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740359975
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULTNOMAH COUNTY SCHOOL DISTRICT U2-20JT
Provider Business Mailing Address
First Line : 11611 NE AINSWORTH CIR
Second Line :
City : PORTLAND
State : OR
Zip : 97220-9017
Country : US
Telephone Number : 503-257-1725
Fax Number : 503-257-1793
Provider Business Practice Location Address
First Line : 11611 NE AINSWORTH CIR
Second Line :
City : PORTLAND
State : OR
Zip : 97220-9017
Country : US
Telephone Number : 503-257-1725
Fax Number : 503-257-1793
Authorized Official
Title or Position : DIRECTOR OF BUSINESS SERVICES
Name : DAVE FAJER
Credential :
Telephone Number : 503-257-1521
Provider Enumeration Date : 11/06/2006
Last Update Date : 08/22/2020

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1316016553 — MULTNOMAH COUNTY SCHOOL DISTRICT #7
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Practice Location Address:
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Directions to “MULTNOMAH COUNTY SCHOOL DISTRICT U2-20JT ” Practice Location

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