Jesse Anthony Chavez Valid NPI
Individual provider · Psychiatric Residential Treatment Facility · Corvallis, OR
- NPI
- 1821290107
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric Residential Treatment Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 323P00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-05-31
- Last updated
- 2007-07-08
Practice location
4455 Ne Highway 20
Corvallis, OR 97330-9695
(541) 758-5936