MEDICARE: MADDEN ROWELL M.D.

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
1	207R00000X	Internal Medicine Physician	298053-1	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	MD204486	OR

General Provider Information

NPI Number	:	1174970149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADDEN ROWELL M.D.

Provider Business Mailing Address
First Line	:	619 NW 6TH AVE FL 5
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-3991
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6736 NE KILLINGSWORTH ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97218-3338
Country	:	US
Telephone Number	:	503-988-3991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	01/22/2025

Similar Medicare Providers

1811936362 — SUSAN A KASS FNP
Practice Location Address:

6736 NE KILLINGSWORTH ST
PORTLAND, OR
97218-3338

Practice Phone: 509-988-3991
Practice Fax:

1811038193 — CARLA CHRISTINE RADCLIFFE MD
Practice Location Address:

6736 NE KILLINGSWORTH ST
PORTLAND, OR
97218-3338

Practice Phone: 503-988-3601
Practice Fax: 503-988-3998

1366018343 — JESSIKA FATU
Practice Location Address:

6736 NE KILLINGSWORTH ST
PORTLAND, OR
97218-3338

Practice Phone: 503-351-3955
Practice Fax:

1265450977 — MS. REBECCA JEAN KENNEDY MST, RKT
Practice Location Address:

4117 N COLONIAL AVE
PORTLAND, OR
97217-3338

Practice Phone: 503-577-7881
Practice Fax:

1538972336 — MOLLY G SPOHN COTA/L
Practice Location Address:

5330 NE PRESCOTT ST
PORTLAND, OR
97218-2158

Practice Phone: 503-288-6585
Practice Fax:

1275472730 — CAITLIN SIMMONS
Practice Location Address:

4600 NE ALBERTA CT
PORTLAND, OR
97218-1656

Practice Phone: 814-221-5709
Practice Fax:

Directions to “ MADDEN ROWELL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.