Individual provider · Type 1 NPI

Shaniqua Lopez

Peer Specialist · Medford, OR

NPI number 1770462525 Active

Practice location

2559 Merriman Rd
Medford, OR 97501-1260

Call (541) 237-0053 Map

Fax (541) 200-3450

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

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 1770462525

Shaniqua Lopez's National Provider Identifier is 1770462525, issued on Aug 27, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Aug 28, 2025.