Provider Demographics
NPI:1215302377
Name:NEWBERG SCHOOL DISTRICT 29J
Entity type:Organization
Organization Name:NEWBERG SCHOOL DISTRICT 29J
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL PROGRAMS
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:PELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-554-5007
Mailing Address - Street 1:714 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-3406
Mailing Address - Country:US
Mailing Address - Phone:503-554-5000
Mailing Address - Fax:503-538-4374
Practice Address - Street 1:714 E 6TH ST
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-3406
Practice Address - Country:US
Practice Address - Phone:503-554-5000
Practice Address - Fax:503-538-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)