Active NPI
La Grande SD
- Local Education Agency (LEA)
- La Grande, OR
National Provider Identifier
1134089063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- LA GRANDE SD
- Practice address
- 1305 N Willow St
La Grande, OR 97850-3822 - Phone
- (541) 663-3200
- Fax
- (541) 663-3215
- NPI assigned
- Nov 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Alejandro Gonzalez
- Title
- Medicaid Coordinator
- Phone
- (541) 663-3220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
1305 N Willow St
La Grande, OR 97850-3822
Mailing address
1305 N Willow St
La Grande, OR 97850-3822
Phone (541) 663-3200
National Provider Directory
National Provider Directory- Tax ID family
- La Grande SD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- La Grande, OR
- NPI 1164451878
Locations
1305 N Willow St
La Grande, OR 97850
Phone (541) 663-3200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- La Grande, OR
- NPI 1336596899
-
- Registered Nurse
- La Grande, OR
- NPI 1578321352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1134089063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 N WILLOW ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978503822",
"telephone_number": "541-663-3200",
"fax_number": "541-663-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N WILLOW ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978503822",
"telephone_number": "541-663-3200",
"fax_number": "541-663-3215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA GRANDE SD",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "ALEJANDRO",
"authorized_official_title_or_position": "MEDICAID COORDINATOR",
"authorized_official_telephone_number": "541-663-3220"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.