NPI 1114194032 · live from the CMS NPI Registry
Jerrell Taituave Afalava
Social Worker in Corvallis, OR. National Provider Identifier 1114194032, active.
NPI record
| NPI | 1114194032 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 4455 Ne Highway 20, Corvallis, OR 97330 |
| Practice phone | 541-758-5900 |
| Enumerated | May 9, 2008 |
| Last updated | May 9, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.