OrganizationActive
Centennial School District 28 302jt
NPI 1104905314 · Local Education Agency (LEA) · Portland, OR
Centennial School District 28 302jt is a Local Education Agency (LEA) organization in Portland, OR (NPI 1104905314).
Provider details
- NPI number
- 1104905314
- Entity type
- Organization
- Primary specialty
- Local Education Agency (LEA)Agencies
- Organization subpart
- No
- Authorized official
- Dave Fajer, Director of Business Services(503) 257-1521
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11611 Ne Ainsworth Cir
Portland, OR 97220-9017
Phone: (503) 257-1725
Fax: (503) 257-1793
Street-level locationGet directions
Mailing address
11611 Ne Ainsworth Cir
Portland, OR 97220-9017
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Centennial School District 28 302jt's NPI number?
- Centennial School District 28 302jt's National Provider Identifier (NPI) is 1104905314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centennial School District 28 302jt?
- Centennial School District 28 302jt is classified in the NPPES registry as Local Education Agency (LEA) (Agencies).
- Where is Centennial School District 28 302jt located?
- Centennial School District 28 302jt's practice location on file with NPPES is 11611 Ne Ainsworth Cir, Portland, OR 97220-9017.
- What is Centennial School District 28 302jt's phone number?
- The practice phone number listed in the NPPES registry for Centennial School District 28 302jt is (503) 257-1725.
- Who is the authorized official for Centennial School District 28 302jt?
- The authorized official listed on Centennial School District 28 302jt's NPPES record is Dave Fajer, Director of Business Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centennial School District 28 302jt's NPI active?
- Yes — Centennial School District 28 302jt's NPI (1104905314) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.