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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOFIA ANTONIA DE SOUSA

Active Sole Proprietor

SOFIA ANTONIA DE SOUSA is a Residential Treatment, Emotionally Disturbed Children healthcare provider located in MEDFORD, Oregon. NPI 1649129347 is currently active in the NPPES registry. Verify at CMS.

Residential Treatment, Emotionally Disturbed Children · MEDFORD, OR

Registration Details

NPI Number
1649129347
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2026 (0.58936613415062 yrs)
Last Updated
Jan 26, 2026
Sole Proprietor
Yes

Practice Information

Address
510 W 11TH ST
MEDFORD, OR, 975013555
Browse OR providers · Browse ZIP 97501
Phone
5416130084
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.