Individual
MADELINE SEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 SE DIVISION ST STE 206, PORTLAND, OR 97202-2567
(503) 758-7555
Mailing address
6615 SE 58TH AVE, PORTLAND, OR 97206-7513
(503) 758-7555
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
BAP-TA-10223291
OR
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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