Jesse Anthony Chavez
Psychiatric Residential Treatment Facility in Corvallis, OR. Individual provider (NPI-1).
NPI number1821290107
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821290107
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jesse Anthony Chavez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
Practice location
4455 Ne Highway 20Corvallis, OR 97330-9695
Phone 541-758-5936
Mailing address
154 Ne Conifer BlvdCorvallis, OR 97330-4677
Phone 503-309-5890
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Other Psychiatric Residential Treatment Facility providers in Corvallis, OR
- Eric Michael SherrillNPI 1972702686
- TrilliumNPI 1316123326
- Trillium Family ServicesNPI 1457539462
- Trillium Family ServicesNPI 1811108780
All 5 Psychiatric Residential Treatment Facility providers in Corvallis · All 4,542 providers in Corvallis
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