Provider Demographics
NPI:1063504926
Name:ORIENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ORIENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-684-6873
Mailing Address - Street 1:FIFTH & C STREETS
Mailing Address - Street 2:PO BOX 1478
Mailing Address - City:ORIENT
Mailing Address - State:WA
Mailing Address - Zip Code:99160
Mailing Address - Country:US
Mailing Address - Phone:509-684-6873
Mailing Address - Fax:509-684-3489
Practice Address - Street 1:FIFTH & C STREETS
Practice Address - Street 2:
Practice Address - City:ORIENT
Practice Address - State:WA
Practice Address - Zip Code:99160
Practice Address - Country:US
Practice Address - Phone:509-684-6873
Practice Address - Fax:509-684-3489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7441470Medicaid