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Individual

MADELEINE JEFFERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2730 PACIFIC BLVD SE, ALBANY, OR 97321-5075
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A17193
OR
374J00000X
Doula

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
THW000104913
TRADITIONAL HEALTH WORKER
OR
Enumeration date
05/18/2021
Last updated
10/15/2025
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