Healthcare Provider Details

I. General information

NPI: 1134063779
Provider Name (Legal Business Name): CHRISTOPHER PAISLEY MEYER PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PAISLEY MEYER PMHNP-BC

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 E BARNETT RD
MEDFORD OR
97504-8332
US

IV. Provider business mailing address

122 E MAIN ST STE 400102
MEDFORD OR
97501-6004
US

V. Phone/Fax

Practice location:
  • Phone: 541-789-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10057200
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: