Individual
MISS BRENDA PALOMERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-20-355
OR
247000000X
Health Information Technician
—
—
Other
Enumeration date
12/06/2019
Last updated
03/15/2022
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