MEDICARE: MEGAN MIZSEI

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
1	374J00000X	Doula	116114	OR

General Provider Information

NPI Number	:	1770434540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MIZSEI

Provider Business Mailing Address
First Line	:	75 W MARY ST
Second Line	:
City	:	LEBANON
State	:	OR
Zip	:	97355-2813
Country	:	US
Telephone Number	:	458-223-0725
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 W MARY ST
Second Line	:
City	:	LEBANON
State	:	OR
Zip	:	97355-2813
Country	:	US
Telephone Number	:	458-223-0725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ MEGAN MIZSEI ” Practice Location

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