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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

METAMORPHOSIS MENTAL HEALTH, LLC
NPI 1114849023
Nurse Practitioner - Psychiatric/Mental Health in Medford, OR

Active since July 30, 2026
412 HAWK RD, MEDFORD, OR 97501(541) 517-1111 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Metamorphosis Mental Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METAMORPHOSIS MENTAL HEALTH, LLC (NPI 1114849023) is a healthcare organization registered as a psychiatric/mental health in Medford, Oregon and active in the NPI registry since July 2026. The organization maintains a secondary practice location in Medford and lists Brittany Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1114849023
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMETAMORPHOSIS MENTAL HEALTH, LLC
Location Address412 HAWK RDMedford, OR 97501-8556
Mailing Address5441 S Macadam Ave Ste NPortland, OR 97239-3822
Phone(541) 517-1111
Organization SubpartNo
Authorized OfficialBrittany WallOwner · (541) 517-1111
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1114849023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
412 HAWK RD, Medford, OR 97501
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Secondary Practice Location 1

Location 1809 E Jackson StMedford, OR 97504-6713 · Phone (541) 245-3614

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY WALL
Nurse Practitioner (Psychiatric/Mental Health)
412 HAWK RD
MEDFORD, OR 97501
Jackson County (541) 517-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metamorphosis Mental Health, LLC's NPI number?

The NPI number for Metamorphosis Mental Health, LLC is 1114849023. It was assigned to this organization in the NPPES registry on July 30, 2026.

Where is Metamorphosis Mental Health, LLC located?

Metamorphosis Mental Health, LLC is located at 412 Hawk Rd, Medford, OR 97501. The listed phone number is (541) 517-1111.

What is Metamorphosis Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Metamorphosis Mental Health, LLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.