JESSE ANTHONY CHAVEZ

CORVALLIS, OR
NPI1821290107
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy323P00000X Psychiatric Residential Treatment Facility
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
MR. JESSE ANTHONY CHAVEZ
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5936
Mailing Address
MR. JESSE ANTHONY CHAVEZ
154 NE CONIFER BLVD
CORVALLIS, OR 97330-4677
Phone number: 503-309-5890
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