Bryan De Valle

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

221 W Main St Ste 300
Medford, OR 97501-2728

Phone

(541) 821-9559

Fax

(541) 702-1236

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1265009898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W MAIN ST STE 300",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012728",
            "telephone_number": "541-821-9559",
            "fax_number": "541-702-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VALLE",
        "first_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah De Hoop
• Alejandro Figueroa De la Mora, MBA
• Alexis De la Torre
• Lana De Los Reyes
• Sofia Antonia De Sousa
• Derek John De Vry
• Tracy Lynn Deal, LMT
• Mia N Deane, LMT
• Yin Deascentis
• Lindy Sue Deatherage, M.D.

• Professional Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.