Individual
JACOB JAMES BURWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
211 SE CHAPMAN PL, CORVALLIS, OR 97333-1224
(541) 791-6691
Mailing address
4515 SW WEST HILLS RD, CORVALLIS, OR 97333-3999
(970) 819-5888
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
108686
OR
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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