IndividualActive
John Bacon, LCSW
NPI 1992796486 · Clinical Social Worker · Corvallis, OR
John Bacon, LCSW is a Clinical Social Worker provider in Corvallis, OR (NPI 1992796486).
Provider details
- NPI number
- 1992796486
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- License
- LCSW #975 (OR)
Practice location
525 Sw 6th St
Corvallis, OR 97333-4323
Phone: (541) 752-0834
Street-level locationGet directions
Mailing address
525 Sw 6th St
Corvallis, OR 97333-4323
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.