Madden, Deborah J

Madden, Deborah J is an individual health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97471-6523. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Madden, Deborah J can be contacted via phone (541) 440-1000.

Contact Information

Primary practice address
913 Nw Garden Valley Blvd Roseburg OR 97471-6523
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X M-9369 Idaho
Allopathic & Osteopathic Physicians / General Practice 208D00000X F8220 Texas

Profile Details

NPI number 1659391555
LBN Legal business name Madden, Deborah J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 14th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659391555 NPPES
Idaho MEDICAID 807354600

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