Individual
DR. ROBERT MADDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D., L.AC.
Contact information
Practice address
1536 NW 23RD AVE, PORTLAND, OR 97210-2618
(503) 347-4625
(503) 208-7105
Mailing address
1536 NW 23RD AVE, PORTLAND, OR 97210-2618
(503) 347-4625
(503) 208-7105
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
10268
CA
171100000X
Acupuncturist
153733
OR
175F00000X
Naturopath
Primary
1802
OR
175F00000X
Naturopath
NDF 184
CA
Other
Enumeration date
09/09/2008
Last updated
12/11/2014
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