Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Metamorphosis Mental Health, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1114849023

Metamorphosis Mental Health, LLC is a Psychiatric/Mental Health Nurse Practitioner in Medford, Oregon. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 Hawk Rd
Medford, OR 97501-8556
Phone: (541) 517-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 809 E Jackson St, Medford, OR 97504-6713 — (541) 245-3614

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1114849023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brittany Wall — Owner · (541) 517-1111
NPI enumeratedJuly 30, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 29, 2026
Mailing address5441 S Macadam Ave Ste N, Portland, OR 97239-3822

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