Individual
MS. MADELYN JOSEPHINE SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.E.D.
Contact information
Practice address
14815 SE DIVISION ST, PORTLAND, OR 97236-2336
(503) 761-7139
Mailing address
3515 SE WASHINGTON ST, APT. 3, PORTLAND, OR 97214-3176
(503) 236-2166
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
10365882
OR
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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