Individual provider · Type 1 NPI
Yesica Bustos-Moran
Registered Record Administrator · Medford, OR
NPI number
1124686167
Active
Practice location
300 W Main St
Medford, OR 97501-2756
Fax (541) 734-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Record Administrator Primary | 246YR1600X | THW000003305 (OR) |
Registered Record Administrator: None
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- Alejandro Figueroa De la Mora, MBAAddiction (Substance Use Disorder) Counselor Medford, OR NPI 1033943121
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- Alison BurlisonAddiction (Substance Use Disorder) Counselor Medford, OR NPI 1518884436
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- Amber RussoPeer Specialist Medford, OR NPI 1396637476
- Andrew Storrs BrownAddiction (Substance Use Disorder) Counselor Medford, OR NPI 1285454553
- Annabella ShaferAddiction (Substance Use Disorder) Counselor Medford, OR NPI 1245158088
- Annika EibnerAddiction (Substance Use Disorder) Counselor Medford, OR NPI 1346151537
About NPI 1124686167
Yesica Bustos-Moran's National Provider Identifier is 1124686167, issued on Jun 4, 2019. The primary taxonomy on file is Registered Record Administrator (246YR1600X), and the practice location is in Medford, OR. The record was last updated on Jun 4, 2019.