Provider Demographics
NPI:1346866530
Name:RAINIER SCHOOL DISTRICT NO 13
Entity Type:Organization
Organization Name:RAINIER SCHOOL DISTRICT NO 13
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-556-3777
Mailing Address - Street 1:28168 OLD RAINIER RD
Mailing Address - Street 2:
Mailing Address - City:RAINIER
Mailing Address - State:OR
Mailing Address - Zip Code:97048-3017
Mailing Address - Country:US
Mailing Address - Phone:503-556-3777
Mailing Address - Fax:
Practice Address - Street 1:28168 OLD RAINIER RD
Practice Address - Street 2:
Practice Address - City:RAINIER
Practice Address - State:OR
Practice Address - Zip Code:97048-3017
Practice Address - Country:US
Practice Address - Phone:503-556-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR165716Medicaid