NPI 1134089063
La Grande Sd
Practice location
- Address
- 1305 N Willow St, La Grande, OR 97850-3822
- Phone
- (541) 663-3200
- Fax
- (541) 663-3215
Authorised official
- Name
- Brian Alejandro Gonzalez
- Title
- Medicaid Coordinator
- Phone
- (541) 663-3220
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1134089063
- Entity type
- Organization
- NPI issued
- 13 Nov 2025
- Record last updated
- 13 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.