IndividualActive
Tess Wolvert
NPI 1366046385 · Behavior Technician · Chiloquin, OR
Provider details
- NPI number
- 1366046385
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10211426 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
140 S 1st Ave
Chiloquin, OR 97624-9738
Phone: (541) 591-5669
Approximate (ZIP-level) locationGet directions
Mailing address
140 S 1st Ave
Chiloquin, OR 97624-9738
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2020-11-30
- Certified
- 2020-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.