Smith, Madeline R G

Smith, Madeline R G is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Madeline R G can be contacted via phone (503) 397-5211.

Contact Information

Primary practice address
58646 Mcnulty Way Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22-02-10343 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C6641 Oregon

Profile Details

NPI number 1962911552
LBN Legal business name Smith, Madeline R G
Credentials LPC, QMHP, CADC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2017
Last updated Dec 20th, 2022 - 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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