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Individual

MICHAEL PETER MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSS

Contact information

Practice address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9264
Mailing address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9264

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-5655
OR
175T00000X
Peer Specialist
Primary
108796
OR

Other

Enumeration date
01/06/2025
Last updated
11/12/2025
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