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

Amanda Lynn Mock

Individual provider Peer Specialist · NPI 1124750864

Amanda Lynn Mock is a Peer Specialist in Medford, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

200 Beatty St
Medford, OR 97501-5811
Phone: (541) 476-2373
Fax: (541) 476-1526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1124750864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESJune 30, 2022
Certification dateJune 21, 2022
Mailing address1215 Sw G St, Grants Pass, OR 97526-2544

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