Active NPIIndividual provider

Jarvis C Allen, LCSW

Social Worker, Clinical in Portland, Oregon

NPI Number1447719992
Practice location
308 SW 1ST Ave, Portland, OR 97204-3400
Fax
360-737-1424
Last updated
March 14, 2019

Jarvis C Allen, LCSW is a Social Worker, Clinical based in Portland, OR. Jarvis C Allen, LCSW holds the professional credentials of LCSW. The NPI number for Jarvis C Allen, LCSW is 1447719992 and holds license No. 6385 (OR). The current practice location address is 308 SW 1ST Ave, Portland, OR 97204-3400 and the office can be reached by phone at 503-808-1256 and by fax at 360-737-1424. The NPI was assigned on March 14, 2019 and the record was last updated in NPPES on March 14, 2019.

●Provider Profile Details

NPI Number
1447719992
Provider Name
Jarvis Craig Allen
Credential
LCSW
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Enumeration Date
March 14, 2019
Last Update Date
March 14, 2019
NPI Status
Active

◉Business Practice Location Address

Address
308 SW 1ST Ave
Portland, OR 97204-3400
State
Oregon
ZIP
97204-3400
Country
US
Phone Number
503-808-1256
Fax Number
360-737-1424

Get directions →

✉Business Mailing Address

Address
308 SW 1ST Ave
Portland, OR 97204-3400
City
Portland
State
OR
ZIP
97204-3400
Phone Number
503-808-1256
Fax Number
360-737-1424

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Social Worker, Clinical1041C0700XYes6385OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jarvis C Allen, LCSW?

The NPI number of Jarvis C Allen, LCSW is 1447719992. It was assigned on March 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Jarvis C Allen, LCSW?

Jarvis C Allen, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. 6385 (OR).

Where does Jarvis C Allen, LCSW practice?

The practice location is 308 SW 1ST Ave, Portland, OR 97204-3400. The office can be reached at 503-808-1256 (phone) or 360-737-1424 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447719992 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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