Sofia Antonia De Sousa
Sofia Antonia De Sousa is an Emotionally Disturbed Childrens' Residential Treatment Facility in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2026
Practice location Address checks out
510 W 11th StMedford, OR 97501-3555
Phone: (541) 613-0084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X (OR) |
|---|
Record details
| NPI number | 1649129347 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2026 |
| Last updated in NPPES | January 26, 2026 |
| Certification date | January 26, 2026 |
| Mailing address | 2981 State St Apt 71, Medford, OR 97504-8451 |
Other providers in Medford
-
Oregon 180
725 W 14th St, Medford, OR 97501-3429 · (541) 621-3053