ANGELINA PAMELA TAVERAS LISZEWSKI
NPI 1356150189
Counselor - Mental Health in Medford, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since January 06, 2025

3200 JUANIPERO WAY, MEDFORD, OR 97504(541) 816-4131(458) 226-2163 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Angelina Pamela Taveras Liszewski NPPES

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

ANGELINA PAMELA TAVERAS LISZEWSKI (NPI 1356150189) is an individual mental health provider in Medford, Oregon and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1356150189

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANGELINA PAMELA TAVERAS LISZEWSKI

Location Address3200 JUANIPERO WAYMedford, OR 97504-8580

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167

Phone(541) 816-4131

Fax(458) 226-2163

Sole ProprietorNo

Enumeration DateJanuary 6, 2025

NPPES CertifiedJanuary 6, 2025

✔ NPI 1356150189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3200 JUANIPERO WAY, Medford, OR 97504

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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.

COLUMBACARE SERVICES

Clinic/Center