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NPI Code Detail

MEDICARE: PAULA ALICE MADER ND, MSAOM

MEDICARE: PAULA ALICE MADER ND, MSAOM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath5008OR

General Provider Information

NPI Number : 1548954712
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA ALICE MADER ND, MSAOM
Provider Business Mailing Address
First Line : 13790 SE 119TH DR
Second Line :
City : CLACKAMAS
State : OR
Zip : 97015-7608
Country : US
Telephone Number : 586-610-3359
Fax Number :
Provider Business Practice Location Address
First Line : 7886 SE 13TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6300
Country : US
Telephone Number : 503-956-9396
Fax Number : 593-206-4791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2023
Last Update Date : 09/10/2025

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