NPI 1205443298

Kate Madden

Practitioner Other Specialist/Technologist Gresham, OR

Practice location

Address: 1748 NW Fairview Dr # a, Gresham, OR 97030-3842
Phone: (503) 492-3910
Fax: (503) 674-6706

Registered specialties (2)

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 21477 (OR)

Other Specialist/Technologist, Other providers in Oregon →

Prevention Professional

Other Service Providers Taxonomy 405300000X Licence 21477 (OR)

Other Prevention Professional providers in Oregon →

Registry record

NPI: 1205443298
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2020
Record last updated: 24 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.