Provider Demographics
NPI:1720416860
Name:MULTNOMAH COUNTY SCHOOL DISTRICT 40
Entity Type:Organization
Organization Name:MULTNOMAH COUNTY SCHOOL DISTRICT 40
Other - Org Name:DDSD - MULTNOMAH EARLY CHILDHOOD PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATT
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-216-8211
Mailing Address - Street 1:1500 SE 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-1719
Mailing Address - Country:US
Mailing Address - Phone:503-216-8212
Mailing Address - Fax:503-261-8247
Practice Address - Street 1:1500 SE 130TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-1719
Practice Address - Country:US
Practice Address - Phone:503-216-8212
Practice Address - Fax:503-261-8247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency