Individual provider · Type 1 NPI

Mekadesh Von Hammerstein

Mental Health Counselor · Medford, OR

NPI number 1912548405 Active

Practice location

201 W 6th St
Medford, OR 97501-2708

Fax (541) 200-2948

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1912548405

Mekadesh Von Hammerstein's National Provider Identifier is 1912548405, issued on Oct 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jan 21, 2026.