Whalio Doctors

NPI 1194141242

Gst Multidistrict

Organisation Local Education Agency (LEA) Portland, ND

Practice location

Address
600 Arnold Ave, Portland, ND 58274-4032
Phone
(701) 788-2004
Fax
(701) 788-2802

Authorised official

Name
Jessica Johansen
Title
Secretary
Phone
(701) 788-2004

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X

Registry record

NPI
1194141242
Entity type
Organization
NPI issued
13 Mar 2014
Record last updated
13 Mar 2014

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.