Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESSE ANTHONY CHAVEZ
Active Sole ProprietorPsychiatric Residential Treatment Facility · CORVALLIS, OR
Registration Details
- NPI Number
- 1821290107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2007 (18.893003321204 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
4455 NE HIGHWAY 20CORVALLIS, OR, 973309695Browse OR providers · Browse ZIP 97330
- Phone
- 5417585936
- Primary Specialty
-
Psychiatric Residential Treatment Facility
323P00000X
Other Psychiatric Residential Treatment Facility Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC MICHAEL SHERRILL | — | 1972702686 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.