Antinucci, Madelyn
Antinucci, Madelyn is an individual health care provider with primary practice located at 2415 Se 43Rd Ave Suite 100, Portland OR 97206-1600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Antinucci, Madelyn can be contacted via phone (503) 238-0705.Contact Information
Primary practice address
2415 Se 43Rd Ave Suite 100
Portland OR 97206-1600
Phone: (503) 238-0705
Fax: (503) 963-7124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L003608 | Oregon |
Profile Details
| NPI number | 1538207287 |
|---|---|
| LBN Legal business name | Antinucci, Madelyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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