Madeline Shepherd
Madeline Shepherd is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
1316 SE 12th AvePortland, OR 97214-3604
Phone: (866) 231-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 20-CRM-147 (OR) |
|---|
Record details
| NPI number | 1063001550 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 11, 2021 |
| Last updated in NPPES | January 11, 2021 |
| Certification date | January 11, 2021 |
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