Jessica Lynn Diaz, CDAC-R
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Medford, OR
NPI 1720964844 · NPPES record last updated Aug 13, 2025
Key facts
- NPI
- 1720964844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 300 W Main St
Medford, OR 97501-2756 - Phone
- (541) 772-1777
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
300 W Main St
Medford, OR 97501-2756
Mailing address
300 W Main St
Medford, OR 97501-2756
Phone (541) 772-1777
Other providers in Medford, OR
- Sarah Dewolf
- Elena Dflores
- Maritza Diaz Arias
- Alexa Diaz
- Jessica H Diaz
- Laura Teresa Diaz
- Lauren Diaz
- Charles R Dibb
- Ashley Dicharry
- David Dickinson
All providers in Medford, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2025. 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.