Individual
MADISON KATHLEEN MCCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 NE DOCTORS DR, BEND, OR 97701-7111
(541) 224-6987
Mailing address
61206 SW BEVERLY WAY, BEND, OR 97702-5012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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