Mr. Jesse Anthony Chavez
Mr. Jesse Anthony Chavez is a Psychiatric Residential Treatment Facility in Corvallis, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4455 NE Highway 20Corvallis, OR 97330-9695
Phone: (541) 758-5936
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Specialties & licences
| Psychiatric Residential Treatment Facility (primary) | Taxonomy 323P00000X |
|---|
Record details
| NPI number | 1821290107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 154 Ne Conifer Blvd, Corvallis, OR 97330-4677 |
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