Individual
MADISON G MERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MFTA, LMHCA
Contact information
Practice address
3519 NE 15TH AVE # 458, PORTLAND, OR 97212-2356
(503) 489-8236
Mailing address
3519 NE 15TH AVE # 458, PORTLAND, OR 97212-2356
(503) 489-8236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
R9213
OR
Other
Enumeration date
05/02/2022
Last updated
07/08/2024
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