Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Education Service District

Organization School Registered Nurse · NPI 1497649156

Douglas Education Service District is a School Registered Nurse in Roseburg, Oregon. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356
Phone: (541) 440-4753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Local Education Agency (LEA) (primary) Taxonomy 251300000X
School Registered Nurse Taxonomy 163WS0200X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1497649156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Analicia Nicholson — Superintendent · (541) 440-4753
NPI enumeratedJune 6, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address1409 Ne Diamond Lake Blvd Ste 110, Roseburg, OR 97470-3356

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