Madison, Joaquina Rainbow

Madison, Joaquina Rainbow is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Madison, Joaquina Rainbow can be contacted via phone (541) 672-2691.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Phone: (541) 672-2691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oregon

Profile Details

NPI number 1376208397
LBN Legal business name Madison, Joaquina Rainbow
Credentials CRM II, PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2021
Last updated Oct 4th, 2023 - about 3 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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