Individual
ALEJANDRO MENDEOLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 FRUITDALE DR, GRANTS PASS, OR 97527-5267
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 479-3514
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-3125
OR
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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