MR. EDWAR JOSE FERNANDO ESTUPINIAN (NPI# 1295236792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295236792 |
| Entity Type | Individual |
| Full Name | MR. EDWAR JOSE FERNANDO ESTUPINIAN |
| Practice Address |
139 Sw 3rd St Corvallis OR 97333-4713 |
| Practice Telephone | 5412865002 |
| Mailing Telephone | 5412865002 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3415 30th Ave Ne, Salem, OR 973017702 | 4797998260 |
| Street Address |
139 SW 3RD ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396354015 | Katie Smith, Ot, LLC | Occupational Therapist | 139 Sw 3rd St, Corvallis, OR 97333-4713 | 2020-07-28 |
| 1912551771 | Conifer Wellness, Inc. | Psychologist | 139 Sw 3rd St, Corvallis, OR 97333-4713 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408580 | Melissa Chamberlin | Counselor | 230 Sw 3rd St Ste 208a, Corvallis, OR 97333-4651 | 2020-05-14 |
| 1770126930 | Shiyu Geng | Counselor | 4823 Sw Roseberry St, Corvallis, OR 97333-1363 | 2019-10-21 |
| 1891298451 | David Seltzer | Counselor | 865 Nw Reiman Avenue, Corvallis, OR 97330-6177 | 2018-03-09 |
| 1598145633 | Tracie J Eoff | Counselor | 520 Nw 27th St, Corvallis, OR 97330-5223 | 2015-06-03 |
| 1700289915 | Rebekah Lancelin | Counselor | 865 Nw Reiman St, Corvallis, OR 97330-6177 | 2014-10-01 |
| 1386056778 | Christi Elizabeth Sears | Counselor | 425 Sw Madison Ave Ste M-1, Corvallis, OR 97333-4799 | 2014-05-20 |
| 1689004335 | Amy Ruth Crevola | Counselor | 980 Nw Spruce Ave, Corvallis, OR 97330 | 2013-11-16 |
| 1962834416 | Thomas Berrey | Counselor | 3989 Nw Tillicum Pl, Corvallis, OR 97330-3325 | 2013-08-07 |
| 1982045431 | Joanne Dickson-self | Counselor | 4455 U.s 20, Corvallis, OR 97330 | 2013-07-12 |
| 1710327390 | Judy Duncan Rintoul | Counselor | 3710 Nw Tyler Pl, Corvallis, OR 97330-4939 | 2013-06-27 |
| Find all providers in CORVALLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.