Jasmine L Adams
Individual provider Active NPI Peer Specialist · Medford, OR
NPI 1376280107 · NPPES record last updated May 13, 2022
Key facts
- NPI
- 1376280107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1025 E Main St
Medford, OR 97504-7689 - Phone
- (541) 779-1282
- NPI assigned
- May 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addictions Recovery Center, Inc. | Current |
Accepting new patients |
Locations
1003 E Main St
Ste 104
Medford, OR 97504
Phone (541) 326-4905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OR | Yes |
Addresses
Primary practice location
1025 E Main St
Medford, OR 97504-7689
Mailing address
1003 E Main St Ste 104
Medford, OR 97504-7140
Phone (541) 622-2236
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.