Individual
JOAQUINA RAINBOW MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM II, PSS
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 672-2691
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-5620
OR
175T00000X
Peer Specialist
Primary
23-CRM-II-0162
OR
Other
Enumeration date
11/04/2021
Last updated
01/08/2026
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