Individual
DEBORAH SOMMERLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8200
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/02/2019
Last updated
03/20/2026
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