Organization · Type 2 NPI
Metamorphosis Mental Health, LLC
Psychiatric/Mental Health Nurse Practitioner · Medford, OR
NPI number
1114849023
Active
Practice location
412 Hawk Rd
Medford, OR 97501-8556
Mailing address
5441 S Macadam Ave Ste N
Portland, OR 97239-3822
Other practice locations
- 809 E Jackson St, Medford, OR 97504-6713 · (541) 245-3614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1114849023
Metamorphosis Mental Health, LLC's National Provider Identifier is 1114849023, issued on Jul 30, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Medford, OR. The record was last updated on Jul 30, 2026.