NPI 1790414621 · live from the CMS NPI Registry
Jonathan Alzate, LCSW
Social Worker, Clinical in Eugene, OR. National Provider Identifier 1790414621, active.
NPI record
| NPI | 1790414621 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1355 Oak St, Eugene, OR 97401 |
| Practice phone | 619-318-3867 |
| Enumerated | June 7, 2022 |
| Last updated | August 2, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 107297 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.