Individual
MADISON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12360 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9320
(503) 303-4000
(503) 344-4412
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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