IndividualActive
Jarvis Allen, LCSW
NPI 1447719992 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1447719992
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 6385 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
308 Sw 1st Ave
Portland, OR 97204-3400
Phone: (503) 808-1256
Fax: (360) 737-1424
Approximate (ZIP-level) locationGet directions
Mailing address
308 Sw 1st Ave
Portland, OR 97204-3400
Registry dates
- Enumerated
- 2019-03-14
- Last updated
- 2019-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.