Chavez, Jesse Anthony

Chavez, Jesse Anthony is an sole proprietor health care provider with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330-9695. He recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as his primary health care specialty. Chavez, Jesse Anthony can be contacted via phone (541) 758-5936.

Contact Information

Primary practice address
4455 Ne Highway 20 Corvallis OR 97330-9695
Phone: (541) 758-5936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1821290107
LBN Legal business name Chavez, Jesse Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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