Healthcare Provider Details

I. General information

NPI: 1093638777
Provider Name (Legal Business Name): YAREMI MEJIA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4439 HAMRICK RD
CENTRAL POINT OR
97502-2816
US

IV. Provider business mailing address

4439 HAMRICK RD
MEDFORD OR
97502-2816
US

V. Phone/Fax

Practice location:
  • Phone: 458-225-9358
  • Fax:
Mailing address:
  • Phone: 458-225-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: