IndividualActive
Carol Mendoza
NPI 1861063174 · Addiction (Substance Use Disorder) Counselor · Keizer, OR
Provider details
- NPI number
- 1861063174
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- T-21-802 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1184 Mcgee Ct Ne
Keizer, OR 97303-9443
Phone: (503) 304-4358
Fax: (503) 304-4361
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 20674
Keizer, OR 97307-0674
Additional practice locations (1)
- 465 Commercial St Ne # 150Salem, OR 97301-3414Phone: (503) 362-2780Fax: (503) 362-2768
Registry dates
- Enumerated
- 2021-07-07
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.