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LAURA TERESA DIAZ QMHA
NPI 1639893142
Counselor - Mental Health in Medford, OR

Active since September 28, 2022
200 BEATTY ST, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Teresa Diaz Qmha NPPES

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

LAURA TERESA DIAZ QMHA (NPI 1639893142) is an individual mental health provider in Medford, Oregon and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1639893142
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURA TERESA DIAZCredential: QMHA
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1639893142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BEATTY ST, Medford, OR 97501
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Other Identifiers 1

Medicaid0823201701OR

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.

KATHERINE LEONIS RN
Registered Nurse
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SCOTT WILLISTON MS, QMHP
Counselor (Professional)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-3302
GENEVIEVE KLAM M.S.
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KYLE BRENT ODESHA
Case Manager/Care Coordinator
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
PANDORA MAE HAMSA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SHELBY JANE HEYER PSS
Peer Specialist
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
MAYUMI OTTMAN QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KAYLA ROSE RASSON QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373

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 Laura Diaz's NPI number?

The NPI number for Laura Diaz is 1639893142. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Laura Diaz located?

Laura Diaz practices at 200 Beatty St, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Laura Diaz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Laura Diaz was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.