| Aligned Life, Llc | |
|
1020 E Jackson St Medford OR 97504-7027 | |
| (541) 622-2085 | |
| Not Available |
| Full Name | Aligned Life, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1020 E Jackson St, Medford, Oregon |
| Authorized Official Name and Position | Matthew Alan Eykelbosch (OWNER/MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8085618312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aligned Life, Llc 3445 Hollywood Ave Medford OR 97501-1922 Ph: (180) 856-1831 | Aligned Life, Llc 1020 E Jackson St Medford OR 97504-7027 Ph: (541) 622-2085 |
| NPI Number | 1649900523 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/28/2025 |
| Medicare PECOS PAC ID | 3072046994 |
|---|---|
| Medicare Enrollment ID | O20241031000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649900523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Matthew Alan Eykelbosch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184106031 PECOS PAC ID: 4981137809 Enrollment ID: I20241031000608 |
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