NPIMap

Organization Active NPI

Southern Oregon Education Service District

  • Early Intervention Provider Agency
  • Medford, OR
National Provider Identifier
1609702844
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SOUTHERN OREGON EDUCATION SERVICE DISTRICT
Practice address
101 N Grape St
Medford, OR 97501-2718
Phone
(541) 776-8590
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Cortney Young
Title
Medicaid Specialist
Phone
(541) 776-8590

Specialties & licenses 1

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

Addresses

Primary practice location

101 N Grape St
Medford, OR 97501-2718

Mailing address

101 N Grape St
Medford, OR 97501-2718

National Provider Directory

National Provider Directory
Tax ID family
Southern Oregon Education Service District5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1609702844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N GRAPE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N GRAPE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012718",
            "telephone_number": "541-776-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON EDUCATION SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_title_or_position": "MEDICAID SPECIALIST",
        "authorized_official_telephone_number": "541-776-8590"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.