NPIMap

Organization Active NPI

Clackamas Education Service District Ei Ecse

  • Local Education Agency (LEA)
  • Milwaukie, OR
National Provider Identifier
1023169935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CLACKAMAS EDUCATION SERVICE DISTRICT EI ECSE
Practice address
4011 SE Lake Rd
Milwaukie, OR 97222-6024
Phone
(503) 675-4151
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicki Coe
Title
Medicaid Billing Facilitator
Phone
(503) 675-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

4011 SE Lake Rd
Milwaukie, OR 97222-6024

Mailing address

4011 SE Lake Rd
Milwaukie, OR 97222-6024
Phone (503) 675-4151

Other identifiers 1

IdentifierTypeStateIssuer
000675MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Clackamas Education Service District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023169935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226024",
            "telephone_number": "503-675-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226024",
            "telephone_number": "503-675-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS EDUCATION SERVICE DISTRICT EI ECSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "MEDICAID BILLING FACILITATOR",
        "authorized_official_telephone_number": "503-675-4151"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000675",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.