OrganizationActive
Educational Service District 112
NPI 1922238526 · Local Education Agency (LEA) · Vancouver, WA
Provider details
- NPI number
- 1922238526
- Entity type
- Organization
- Primary specialty
- Local Education Agency (LEA)Agencies
- Organization subpart
- No
- Authorized official
- Sandy Mathewson, Prevention Center Director(360) 750-7505
Specialties & taxonomies
Agencies
Practice location
2500 Ne 65th Ave
Vancouver, WA 98661-6812
Phone: (360) 750-7507
Fax: (360) 906-1010
Approximate (ZIP-level) locationGet directions
Mailing address
2500 Ne 65th Ave
Vancouver, WA 98661-6812
Registry dates
- Enumerated
- 2009-07-17
- Last updated
- 2009-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.