Individual
ALYSSE LYNETTE BORBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRMII, PSS, CRGM
Contact information
Practice address
248 MACE RD, MEDFORD, OR 97501-1280
(971) 219-3314
Mailing address
248 MACE RD, MEDFORD, OR 97501-1280
(458) 225-9358
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
25-QMHA-I-005000
OR
175T00000X
Peer Specialist
Primary
23-CRM-II-0138
OR
Other
Enumeration date
01/14/2020
Last updated
07/28/2026
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