Individual
DR. DEBORAH J MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F8220
TX
208D00000X
General Practice Physician
M-9369
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807354600
—
ID
Enumeration date
07/20/2006
Last updated
01/14/2014
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