Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOFIA ANTONIA DE SOUSA
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · MEDFORD, OR
Registration Details
- NPI Number
- 1649129347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2026 (0.23551571343706 yrs)
- Last Updated
- Jan 26, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
510 W 11TH STMEDFORD, OR, 975013555Browse OR providers · Browse ZIP 97501
- Phone
- 5416130084
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
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.