IndividualActive
Jared Peck
NPI 1235583717 · Clinical Social Worker · Corvallis, OR
Provider details
- NPI number
- 1235583717
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4455 Ne Highway 20
Corvallis, OR 97330-9695
Phone: (541) 758-5900
Approximate (ZIP-level) locationGet directions
Mailing address
3415 Se Powell Blvd
Portland, OR 97202-3371
Registry dates
- Enumerated
- 2016-04-20
- Last updated
- 2016-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.