MEDICARE: EDUCATIONAL SERVICE DISTRICT 113

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	1041S0200X	School Social Worker

Other Identifiers

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

General Provider Information

NPI Number	:	1851510960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDUCATIONAL SERVICE DISTRICT 113

Provider Business Mailing Address
First Line	:	601 MCPHEE RD SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-5080
Country	:	US
Telephone Number	:	360-464-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 MCPHEE RD SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-5080
Country	:	US
Telephone Number	:	360-464-6700
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. REBECCA J TURNBULL
Credential	:
Telephone Number	:	360-748-3384

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/22/2020

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Directions to “EDUCATIONAL SERVICE DISTRICT 113 ” Practice Location

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