Organization Active NPI

Molalla River School District

  • Local Education Agency (LEA)
  • Molalla, OR
National Provider Identifier
1689724544
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
MOLALLA RIVER SCHOOL DISTRICT
Practice address
412 S Swiegle Ave
Molalla, OR 97038-8113
Phone
(503) 829-2359
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Gale Pratt
Title
Special Service Director
Phone
(503) 829-2359

Specialties & licenses 1

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

Addresses

Primary practice location

412 S Swiegle Ave
Molalla, OR 97038-8113

Mailing address

412 S Swiegle Ave
Molalla, OR 97038-8113

Other identifiers 1

IdentifierTypeStateIssuer
291810MedicaidOR

National Provider Directory

National Provider Directory

Locations

412 S Swiegle Ave
Molalla, OR 97038
Phone (503) 829-2359

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689724544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S SWIEGLE AVE",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S SWIEGLE AVE",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388113",
            "telephone_number": "503-829-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLALLA RIVER SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "SPECIAL SERVICE DIRECTOR",
        "authorized_official_telephone_number": "503-829-2359"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291810",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Molalla, 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.