Provider Demographics
NPI:1700959269
Name:S LANE COUNTY SCHOOL DISTRICT 45J3
Entity type:Organization
Organization Name:S LANE COUNTY SCHOOL DISTRICT 45J3
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-942-3381
Mailing Address - Street 1:455 ADAMS AVE
Mailing Address - Street 2:PO BOX 215
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-2160
Mailing Address - Country:US
Mailing Address - Phone:541-942-3381
Mailing Address - Fax:541-942-8098
Practice Address - Street 1:455 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-2160
Practice Address - Country:US
Practice Address - Phone:541-942-3381
Practice Address - Fax:541-942-8098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR020888OtherOMAP