KRISTIN MARIE BORG
NPI 1043095060
Counselor - Mental Health in Medford, OR
Active since August 28, 2023
About Kristin Marie Borg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN MARIE BORG (NPI 1043095060) is an individual mental health provider in Medford, Oregon and active in the NPI registry since August 2023.
NPPES Registry Identity
NPI1043095060
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN MARIE BORG
Location Address503 AIRPORT RD STE 101Medford, OR 97504-4159
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 200-2900
Fax(541) 200-2948
Sole ProprietorNo
Enumeration DateAugust 28, 2023
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1043095060 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
503 AIRPORT RD STE 101, Medford, OR 97504
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
503 AIRPORT RD STE 101
MEDFORD, OR 97504
MEDFORD, OR 97504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043095060, enumerated as an "individual" on August 28, 2023.
The provider is located at 503 AIRPORT RD STE 101 MEDFORD, OR 97504 and the phone number is (541) 200-2900.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.