Individual
MADELINE ELIZABETH RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
216 SW MADISON AVENUE, SUITE 14, CORVALLIS, OR 97333
(541) 758-7332
(541) 754-7459
Mailing address
PO BOX 1593, CORVALLIS, OR 97339
(541) 758-7332
(541) 754-7459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0175
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005076
VALUE OPTIONS EAP
OR
Enumeration date
05/08/2007
Last updated
07/08/2007
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