EDUCATIONAL SERVICE DISTRICT 112
NPI 1790008928
Clinic/Center - Mental Health (Including Community Mental Health Center) in Vancouver, WA

Q: What is Educational Service District 112's NPI number?

The NPI number for Educational Service District 112 is 1790008928. It was assigned to this organization in the NPPES registry on March 2, 2010.

Q: What is Educational Service District 112's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since March 02, 2010

2500 NE 65 AVENUE, VANCOUVER, WA 98661(360) 750-7500(360) 906-1010 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Educational Service District 112 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUCATIONAL SERVICE DISTRICT 112 (NPI 1790008928) is a healthcare organization registered as a mental health (including community mental health center) in Vancouver, Washington and active in the NPI registry since March 2010. The organization lists Gavin Hottman, Budget Analyst, as its authorized official.

NPPES Registry Identity

NPI1790008928

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameEDUCATIONAL SERVICE DISTRICT 112

Location Address2500 NE 65 AVENUEVancouver, WA 98661-6812

Mailing Address2500 Ne 65 AvenueVancouver, WA 98661-6812 · (360) 750-7500 · Fax (360) 906-1010

Phone(360) 750-7500

Fax(360) 906-1010

Organization SubpartNo

Authorized OfficialGavin HottmanBudget Analyst · (360) 750-7500

Enumeration DateMarch 2, 2010

Last NPPES UpdateNovember 24, 2020

NPPES CertifiedNovember 24, 2020

✔ NPI 1790008928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedLocal Education Agency (LEA)Taxonomy 251300000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

2500 NE 65 AVENUE, Vancouver, WA 98661

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Other Identifiers 1

Other1996008WA · Current Provider Number To Be Used With Npi

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Educational Service District 112's NPI number?

The NPI number for Educational Service District 112 is 1790008928. It was assigned to this organization in the NPPES registry on March 2, 2010.

Where is Educational Service District 112 located?

Educational Service District 112 is located at 2500 NE 65 Avenue, Vancouver, WA 98661. The listed phone number is (360) 750-7500.

What is Educational Service District 112's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Educational Service District 112 was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.