Martha Griselda Rodriguez
Peer Specialist in Medford, OR. Individual provider (NPI-1).
NPI number1164084497
StatusActive
Last updated in NPPESJul 8, 2019
Details
- NPI
- 1164084497
- Entity type
- Individual (NPI-1)
- Name
- Martha Griselda Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Last updated
- Jul 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
140 S Holly StMedford, OR 97501-3113
Phone 541-690-6116
Mailing address
140 S Holly StMedford, OR 97501-3113
Phone 541-690-6116
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