Shasta Rodriguez
Shasta Rodriguez is a Peer Specialist in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2021.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
300 W Main StMedford, OR 97501-2756
Phone: (541) 200-2407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 104709 (OR) |
|---|
Record details
| NPI number | 1386218386 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 14, 2021 |
| Last updated in NPPES | May 14, 2021 |
| Certification date | May 14, 2021 |
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