Provider Demographics
NPI:1578371506
Name:ULUAVE, SETH (CRM, CADC-R)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:ULUAVE
Suffix:
Gender:M
Credentials:CRM, CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-2869
Mailing Address - Country:US
Mailing Address - Phone:541-451-6388
Mailing Address - Fax:
Practice Address - Street 1:111 N MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-2869
Practice Address - Country:US
Practice Address - Phone:541-451-6388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist