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

Educational Service District 112

Organization Local Education Agency (LEA) · NPI 1790008928

Educational Service District 112 is a Local Education Agency (LEA) in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2010.

Licensed in
WA
In the registry since
2010
Specialties on file
4

Practice location Address checks out

2500 NE 65 Ave
Vancouver, WA 98661-6812
Phone: (360) 750-7500
Fax: (360) 906-1010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Local Education Agency (LEA) Taxonomy 251300000X
Case Management Agency Taxonomy 251B00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X (WA)

Record details

NPI number1790008928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gavin Hottman — Budget Analyst · (360) 750-7500
NPI enumeratedMarch 2, 2010
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020
Mailing address2500 Ne 65 Avenue, Vancouver, WA 98661-6812

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