Provider Demographics
NPI:1730394065
Name:PORTLAND PUBLIC SCHOOLS
Entity type:Organization
Organization Name:PORTLAND PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY JO
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:SUPERINTENDENT
Authorized Official - Phone:207-874-8111
Mailing Address - Street 1:196 ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-3711
Mailing Address - Country:US
Mailing Address - Phone:207-874-8111
Mailing Address - Fax:207-756-8438
Practice Address - Street 1:196 ALLEN AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-3711
Practice Address - Country:US
Practice Address - Phone:207-874-8111
Practice Address - Fax:207-756-8438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)