Individual provider · Type 1 NPI
Oscar Medina
Addiction (Substance Use Disorder) Counselor · Corvallis, OR
NPI number
1275936510
Active
Practice location
530 NW 27th St
Corvallis, OR 97330-5223
Fax (541) 766-6186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14-P-13 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275936510
Oscar Medina's National Provider Identifier is 1275936510, issued on Oct 1, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Corvallis, OR. The record was last updated on Dec 15, 2017.