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:
Health care specialties
| Specialty | Code | License # | 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 2 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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