OrganizationActive
Educational Service District 112
NPI 1962752956 · Local Education Agency (LEA) · Castle Rock, WA
Provider details
- NPI number
- 1962752956
- Entity type
- Organization
- Primary specialty
- Local Education Agency (LEA)Agencies
- Organization subpart
- No
- Authorized official
- Nancy King, Speech Language Pathologist Assista(360) 560-1030
- License
- SP 60208742 (WA)
Specialties & taxonomies
Agencies
Practice location
404 Balcer St Ne
Castle Rock, WA 98611-9647
Phone: (360) 560-1030
Approximate (ZIP-level) locationGet directions
Mailing address
404 Balcer St Ne
Castle Rock, WA 98611-9647
Registry dates
- Enumerated
- 2012-09-17
- Last updated
- 2012-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.