DARLA ANN FONSECA DE LA CRUZ
NPI 1780258871
Peer Specialist in Medford, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since May 13, 2021

140 S HOLLY ST, MEDFORD, OR 97501(541) 774-8001 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Darla Ann Fonseca De La Cruz NPPES

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

DARLA ANN FONSECA DE LA CRUZ (NPI 1780258871) is an individual peer specialist in Medford, Oregon and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1780258871

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameDARLA ANN FONSECA DE LA CRUZ

Location Address140 S HOLLY STMedford, OR 97501-3113

Mailing Address140 S Holly StMedford, OR 97501-3113 · (541) 774-8001

Phone(541) 774-8001

Sole ProprietorNo

Enumeration DateMay 13, 2021

NPPES CertifiedMay 13, 2021

✔ NPI 1780258871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

140 S HOLLY ST, Medford, OR 97501

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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.

MARLENE SADLER

Registered Nurse (Community Health)