1144684879 NPI number — UMATILLA CO SCHOOL DIST 16R

Table of content: MRS. NATASHA LINDSEY NATTIER NP (NPI 1841500543)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144684879 NPI number — UMATILLA CO SCHOOL DIST 16R

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UMATILLA CO SCHOOL DIST 16R
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144684879
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 SOUTHGATE STE 8
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PENDLETON
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97801-3973
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-276-6711
Provider Business Mailing Address Fax Number:
541-278-3208

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 SOUTHGATE STE 8
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PENDLETON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97801-3973
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-276-6711
Provider Business Practice Location Address Fax Number:
541-278-3208
Provider Enumeration Date:
04/08/2016

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
Authorized Official Title or Position:
SPECIAL PROGRAMS DIRECTOR
Authorized Official Telephone Number:
541-966-3262

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , with the licence number:  134861 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 134861 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




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