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SOFIA ANTONIA DE SOUSA
NPI 1649129347
Residential Treatment Facility, Emotionally Disturbed Children in Medford, OR

Active since January 26, 2026
510 W 11TH ST, MEDFORD, OR 97501(541) 613-0084 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sofia Antonia De Sousa NPPES

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

SOFIA ANTONIA DE SOUSA (NPI 1649129347) is an individual residential treatment facility, emotionally disturbed children provider in Medford, Oregon and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1649129347
Entity TypeIndividualFemale
Primary Taxonomy322D00000X
Provider Legal NameSOFIA ANTONIA DE SOUSA
Location Address510 W 11TH STMedford, OR 97501-3555
Mailing Address2981 State St Apt 71Medford, OR 97504-8451 · (541) 613-0084
Phone(541) 613-0084
Sole ProprietorYes
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1649129347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
510 W 11TH ST, Medford, OR 97501
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Other Providers at the Same Location NPPES

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

ASHLEY FRITSEN
Case Manager/Care Coordinator
510 W 11TH ST
MEDFORD, OR 97501
Jackson County (541) 776-5793

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 Sofia De Sousa's NPI number?

The NPI number for Sofia De Sousa is 1649129347. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Sofia De Sousa located?

Sofia De Sousa practices at 510 W 11th St, Medford, OR 97501. The listed phone number is (541) 613-0084.

What is Sofia De Sousa's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Sofia De Sousa was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.