NPI 1003607300

Jacob James Burwell, CHW

Practitioner Community Health Worker Corvallis, OR

Practice location

Address: 211 SE Chapman Pl, Corvallis, OR 97333-1224
Phone: (541) 791-6691
Mailing address: 4515 SW West Hills Rd, Corvallis, OR 97333-3999

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 108686 (OR)

Other Community Health Worker providers in Oregon →

Registry record

NPI: 1003607300
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2025
Record last updated: 15 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.