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KELLIE AMBER SANFORD CNA2
NPI 1649956244
Counselor - Mental Health in Medford, OR

Active since June 27, 2023
10 CRATER LAKE AVE, MEDFORD, OR 97504(541) 772-0127(541) 772-0966 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie Amber Sanford Cna2 NPPES

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

KELLIE AMBER SANFORD CNA2 (NPI 1649956244) is an individual mental health provider in Medford, Oregon and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1649956244
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE AMBER SANFORDCredential: CNA2
Location Address10 CRATER LAKE AVEMedford, OR 97504-7445
Mailing Address1750 Nebraska Ave Bldg AGrants Pass, OR 97527-5700 · (541) 956-4943
Phone(541) 772-0127
Fax(541) 772-0966
Sole ProprietorNo
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1649956244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10 CRATER LAKE AVE, 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.

CASSANDRA LYNN UNBANKES
Counselor (Mental Health)
10 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 772-0127
DAWN MICHELLE MENA
Peer Specialist
10 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 772-0127
SARAH LOUISE KELLOGG
Counselor (Mental Health)
10 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 774-2012
DEVON GARY
Peer Specialist
10 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 772-0127
ISAIAH MICHAEL SAN FILIPPO
Counselor (Mental Health)
10 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 772-0127
HALEY HALL
Counselor (Mental Health)
10 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 772-0127
AIDEN ADDINGTON
Counselor (Mental Health)
10 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 772-0127
SOUTHERN OREGON PROFESSIONAL CARE SERVICES, INC.
Home Health
10 CRATER LAKE AVE, SUITE 7
MEDFORD, OR 97504
Jackson County (541) 773-5002

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 Kellie Sanford's NPI number?

The NPI number for Kellie Sanford is 1649956244. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Kellie Sanford located?

Kellie Sanford practices at 10 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 772-0127.

What is Kellie Sanford'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 Kellie Sanford was last updated on June 27, 2023. 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.