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ANGELA ANTONIA ANDERSON PSS
NPI 1851759245
Peer Specialist in Medford, OR

Active since February 01, 2016
1003 E MAIN ST STE 104, MEDFORD, OR 97504(541) 779-1282(541) 608-2888 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, Sep 19, 2019, Feb 1, 2016 (3 updates tracked since 2016).

About Angela Antonia Anderson Pss NPPES

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

ANGELA ANTONIA ANDERSON PSS (NPI 1851759245) is an individual peer specialist in Medford, Oregon, licensed in Oregon (THW000003687) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1851759245
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameANGELA ANTONIA ANDERSONCredential: PSS
Location Address1003 E MAIN ST STE 104Medford, OR 97504
Mailing Address1003 E Main St Ste 104Medford, OR 97504-7140 · (541) 779-1282 · Fax (541) 608-2888
Phone(541) 779-1282
Fax(541) 608-2888
Sole ProprietorNo
Enumeration DateFebruary 1, 2016
Last NPPES UpdateJanuary 28, 20203 updates tracked since enumeration
✔ NPI 1851759245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000003687
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License THW000003687 (OR)
1003 E MAIN ST STE 104, 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.

MR. DANIEL WAYNE INGHAM CRM
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
GALEN O'NEIL CRM
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
DEENENA NELSON
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
LETICIA PARRA AGUILAR SUPPORT STAFF
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
SUNSHINE M LACZKOWSKI
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
JEFFREY D BROWN
Counselor (Addiction (Substance Use Disorder))
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
ERIC SCOTT SPENCER CADC-R
Counselor
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
CHRISTINE MASON
Counselor (Addiction (Substance Use Disorder))
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282

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 Angela Anderson's NPI number?

The NPI number for Angela Anderson is 1851759245. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Angela Anderson located?

Angela Anderson practices at 1003 E Main St Ste 104, Medford, OR 97504. The listed phone number is (541) 779-1282.

What is Angela Anderson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Angela Anderson was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.