Spain, Madelyn Josephine

Spain, Madelyn Josephine is an individual health care provider with primary practice located at 14815 Se Division St , Portland OR 97236-2336. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Spain, Madelyn Josephine can be contacted via phone (503) 761-7139.

Contact Information

Primary practice address
14815 Se Division St Portland OR 97236-2336
Phone: (503) 761-7139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 10365882 Oregon

Profile Details

NPI number 1750422085
LBN Legal business name Spain, Madelyn Josephine
Credentials M.S.E.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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