| Denise Maddock, | |
|
1945 Ne 205th Ave, Fairview, OR 97024-9622 | |
| (503) 661-8050 | |
| (503) 492-4651 |
| Full Name | Denise Maddock |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1945 Ne 205th Ave, Fairview, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134287444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PROFESSIONALLICENSE (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Maddock, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | Denise Maddock, 1945 Ne 205th Ave, Fairview, OR 97024-9622 Ph: (503) 661-8050 |
Dr. Naomi Ann Mandsager, LPC, PH. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1450 Ne Village St, Fairview, OR 97024 Phone: 503-492-4492 | |
Lisa Cordero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1945 Ne 205th Ave, Fairview, OR 97024 Phone: 503-661-8050 Fax: 503-492-4651 | |
Lara Loughlin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1945 Ne 205th Ave, Fairview, OR 97024 Phone: 541-858-8170 Fax: 541-858-8167 | |
Sarah Bourgeois, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1945 Ne 205th Ave, Fairview, OR 97024 Phone: 503-661-8050 Fax: 503-492-4651 | |
Ms. Tammy Marie Lundbom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2714 Ne 205th Ave Apt 228, Fairview, OR 97024 Phone: 503-914-9768 | |
Clinton Stiffler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1945 Ne 205th Ave, Fairview, OR 97024 Phone: 503-661-8050 Fax: 503-492-4651 |