Individual provider · Type 1 NPI

Shasta Rodriguez

Peer Specialist · Medford, OR

NPI number 1386218386 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 200-2407 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X104709 (OR)

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 1386218386

Shasta Rodriguez's National Provider Identifier is 1386218386, issued on May 14, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on May 14, 2021.