Individual provider · Type 1 NPI

Christian Mendoza

Counselor · Salem, OR

NPI number 1871136671 Active · reactivated Feb 7, 2023

Practice location

4890 32nd Ave SE
Salem, OR 97317-9350

Call (503) 588-5647 Map

Fax (503) 779-1992

Mailing address

2920 Shortridge Pl SE
Albany, OR 97322-5753

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X25-QMHA-R-7705 (OR)
Behavior Technician 106S00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1871136671

Christian Mendoza's National Provider Identifier is 1871136671, issued on Oct 24, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salem, OR. The record was last updated on Oct 23, 2026.