Individual
EDGAR CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5944
Mailing address
4455 NE HWY 20, CHILDREN'S FARM HOME/WAVERLY, CORVALLIS, OR 97333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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