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NPI Code Detail

MEDICARE: AZUCENA MERAZ

MEDICARE:   AZUCENA  MERAZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorOR
2175T00000XPeer SpecialistOR

General Provider Information

NPI Number : 1184587750
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZUCENA MERAZ
Provider Business Mailing Address
First Line : 2762 HIGH CEDARS LN
Second Line :
City : MEDFORD
State : OR
Zip : 97504-3416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2762 HIGH CEDARS LN
Second Line :
City : MEDFORD
State : OR
Zip : 97504-3416
Country : US
Telephone Number : 458-226-6282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ AZUCENA MERAZ ” Practice Location

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