Provider Demographics
NPI:1356773568
Name:MARION COUNTY SCHOOL DISTRICT 103
Entity type:Organization
Organization Name:MARION COUNTY SCHOOL DISTRICT 103
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:503-981-2703
Mailing Address - Street 1:965 N BOONES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-9674
Mailing Address - Country:US
Mailing Address - Phone:503-981-2713
Mailing Address - Fax:
Practice Address - Street 1:965 N BOONES FERRY RD
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-9674
Practice Address - Country:US
Practice Address - Phone:503-981-2713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR165525Medicaid