NPI 1447719992 · live from the CMS NPI Registry
Jarvis Craig Allen, LCSW
Social Worker, Clinical in Portland, OR. National Provider Identifier 1447719992, active.
NPI record
| NPI | 1447719992 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 308 Sw 1st Ave, Portland, OR 97204 |
| Practice phone | 503-808-1256 |
| Enumerated | March 14, 2019 |
| Last updated | March 14, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 6385 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.