Wallowa County Education Service District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WALLOWA COUNTY EDUCATION SERVICE DISTRICT

Practice address

107 SW 1St St Ste 105
Enterprise, OR 97828-1285

Phone

(541) 426-7600

Fax

(541) 426-3732

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Landon Lee Braden

Title

Assistant Superintendent

Phone

(541) 426-7600

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1306568332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SW 1ST ST STE 105",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281285",
            "telephone_number": "541-426-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SW 1ST ST STE 105",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281285",
            "telephone_number": "541-426-7600",
            "fax_number": "541-426-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLOWA COUNTY EDUCATION SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "541-426-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OHA",
            "affiliation": "N",
            "endpointDescription": "OHA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OHA",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 SW 1st St Ste 105",
            "city": "Enterprise",
            "state": "OR",
            "country_code": "US",
            "postal_code": "978281285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trace David Vancleave, DMD
• Kevin Lee Vandenheuvel
• Kristell Marie Wade, CRNA
• Walla Walla Vamc
• Laurel Lynn Wallace
• Wallowa County Esd
• Wallowa County Health Care District
• Wallowa County Health Care District
• Wallowa County Health Care District
• Wallowa County Health Care District

• Local Education Agency (LEA) in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Local Education Agency (LEA) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.