NPI 1457621823

Douglas Education Service District

Organisation Early Intervention Provider Agency Roseburg, OR

Practice location

Address: 1871 NE Stephens St, Roseburg, OR 97470-1433
Phone: (541) 440-4777
Fax: (541) 440-4771

Authorised official

Name: Susan Graham
Title: Ei/Ecse Regional Director
Phone: (541) 440-4777

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Oregon →

Registry record

NPI: 1457621823
Entity type: Organization
NPI issued: 3 Jan 2012
Record last updated: 16 Feb 2012

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.