NPI 1508216573 · live from the CMS NPI Registry
Act Beyond Pain, LLC
Social Worker, Clinical in Corvallis, OR. National Provider Identifier 1508216573, active.
NPI record
| NPI | 1508216573 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 4655 Nw Queens Ave, Corvallis, OR 97330 |
| Practice phone | 503-428-0340 |
| Enumerated | June 20, 2016 |
| Last updated | June 20, 2016 |
| Authorized official | Sandra Veronick, Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 4077 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.