Provider Demographics
NPI:1487768222
Name:WILLAPA VALLEY SCHOOL DISTRICT
Entity type:Organization
Organization Name:WILLAPA VALLEY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT/SPECIAL ED. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:M
Authorized Official - Last Name:AKERLUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-942-5855
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:MENLO
Mailing Address - State:WA
Mailing Address - Zip Code:98561-0128
Mailing Address - Country:US
Mailing Address - Phone:360-942-5855
Mailing Address - Fax:360-942-3216
Practice Address - Street 1:22 VIKING WAY
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:WA
Practice Address - Zip Code:98577-9308
Practice Address - Country:US
Practice Address - Phone:360-942-5855
Practice Address - Fax:360-942-3216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7442841Medicaid