ALEJANDRO MENDEOLA JR.
NPI 1811788169
Peer Specialist in Grants Pass, OR

Active since May 15, 2025
205 FRUITDALE DR, GRANTS PASS, OR 97527(541) 476-2373 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alejandro Mendeola Jr. NPPES

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

ALEJANDRO MENDEOLA JR. (NPI 1811788169) is an individual peer specialist in Grants Pass, Oregon, licensed in Oregon (24-CRM-3125) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1811788169
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameALEJANDRO MENDEOLA JR.
Location Address205 FRUITDALE DRGrants Pass, OR 97527-5267
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373 · Fax (541) 479-3514
Sole ProprietorNo
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
NPI 1811788169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 24-CRM-3125
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.

205 FRUITDALE DR, Grants Pass, OR 97527

Other Names 1

Other Name (5)Alex Mendeola

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Peer Specialist
205 FRUITDALE DR
GRANTS PASS, OR 97527
Peer Specialist
205 FRUITDALE DR
GRANTS PASS, OR 97527
Counselor (Mental Health)
205 FRUITDALE DR
GRANTS PASS, OR 97527
Counselor (Addiction (Substance Use Disorder))
205 FRUITDALE DR
GRANTS PASS, OR 97527
Peer Specialist
205 FRUITDALE DR
GRANTS PASS, OR 97527
Clinic/Center (Rehabilitation, Substance Use Disorder)
205 FRUITDALE DR
GRANTS PASS, OR 97527

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811788169, enumerated as an "individual" on May 15, 2025.

The provider is located at 205 FRUITDALE DR GRANTS PASS, OR 97527 and the phone number is (541) 476-2373.

Peer Specialist with taxonomy code 175T00000X.