Provider Demographics
NPI:1669401378
Name:UNION SCHOOL DISTRICT 5
Entity type:Organization
Organization Name:UNION SCHOOL DISTRICT 5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-562-6115
Mailing Address - Street 1:PO BOX K
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:OR
Mailing Address - Zip Code:97883-0500
Mailing Address - Country:US
Mailing Address - Phone:541-562-6115
Mailing Address - Fax:541-562-8116
Practice Address - Street 1:540 S. MAIN
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:OR
Practice Address - Zip Code:97883
Practice Address - Country:US
Practice Address - Phone:541-562-6115
Practice Address - Fax:541-562-8116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR227614Medicaid