Individual provider · Type 1 NPI

Michelle Nichole Carlson Cavalli

Peer Specialist · Medford, OR

NPI number 1144145871 Active

Practice location

200 Beatty St
Medford, OR 97501-5811

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1144145871

Michelle Nichole Carlson Cavalli's National Provider Identifier is 1144145871, issued on Aug 11, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Aug 11, 2026.