NPIMap

Organization Active NPI

Douglas Education Service District

  • Early Intervention Provider Agency
  • Klamath Falls, OR
National Provider Identifier
1407120215
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
DOUGLAS EDUCATION SERVICE DISTRICT
Practice address
3125 Crosby Ave
Klamath Falls, OR 97603-5733
Phone
(541) 883-4748
NPI assigned
Feb 27, 2012
Last updated
Feb 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Susan Graham, M.S., CCC
Title
Ei/Ecse Regional Director
Phone
(541) 440-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

3125 Crosby Ave
Klamath Falls, OR 97603-5733

Mailing address

1871 NE Stephens St
Roseburg, OR 97470-1433
Phone (541) 440-4777

Other names 1

  • Douglas ESD - Klamath Co EI/ECSE Other name

National Provider Directory

National Provider Directory
Tax ID family
Douglas Education Service District8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3125 Crosby Ave
Klamath Falls, OR 97603
Phone (541) 346-3575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1407120215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701433",
            "telephone_number": "541-440-4777",
            "fax_number": "541-440-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 CROSBY AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035733",
            "telephone_number": "541-883-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS EDUCATION SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EI/ECSE REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "541-440-4777",
        "authorized_official_credential": "M.S., CCC"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas ESD - Klamath Co EI/ECSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.