DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MADISON STEPHEN

MEDICARE: MADISON STEPHEN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1386509974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON STEPHEN
Provider Business Mailing Address
First Line : 6444 FAIRWAY AVE SE
Second Line :
City : SALEM
State : OR
Zip : 97306-3073
Country : US
Telephone Number : 971-901-2731
Fax Number :
Provider Business Practice Location Address
First Line : 6444 FAIRWAY AVE SE
Second Line :
City : SALEM
State : OR
Zip : 97306-3073
Country : US
Telephone Number : 971-901-2731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

Similar Medicare Providers

1366306052 — SAMANTHA JOYCLE PORTH
Practice Location Address:
6444 FAIRWAY AVE SE STE 100
SALEM, OR
97306-3073
Practice Phone: 971-901-2731
Practice Fax: 971-901-3065
1457216103 — MACKENZIE LAYNE
Practice Location Address:
6444 FAIRWAY AVE SE STE 100
SALEM, OR
97306-3073
Practice Phone: 971-901-2731
Practice Fax: 971-901-3065
1134350564 — MRS. MELISSA MARIE BRAVO LPC
Practice Location Address:
6444 FAIRWAY AVE SE STE 100
SALEM, OR
97306-3073
Practice Phone: 971-901-2731
Practice Fax: 971-901-3065
1083082077 — MACKENZIE RICE
Practice Location Address:
6444 FAIRWAY AVE SE
SALEM, OR
97306-3073
Practice Phone: 971-901-2731
Practice Fax:
1104324961 — ASHLEY POWELL
Practice Location Address:
6444 FAIRWAY AVE SE STE 100
SALEM, OR
97306-3073
Practice Phone: 971-218-7351
Practice Fax:
1568954592 — MEGAN LAPIN
Practice Location Address:
6444 FAIRWAY AVE SE STE 100
SALEM, OR
97306-3073
Practice Phone: 971-901-2731
Practice Fax:

Directions to “ MADISON STEPHEN ” 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 © 2007-2025 (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.