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NPI Code Detail

MEDICARE: MADRIGAL CARE

MEDICARE: MADRIGAL CARE
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1750233680
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADRIGAL CARE
Provider Business Mailing Address
First Line : 906 NW 23RD AVE STE 3B
Second Line :
City : PORTLAND
State : OR
Zip : 97210-3006
Country : US
Telephone Number : 503-395-3039
Fax Number :
Provider Business Practice Location Address
First Line : 906 NW 23RD AVE STE 3B
Second Line :
City : PORTLAND
State : OR
Zip : 97210-3006
Country : US
Telephone Number : 503-395-3039
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PAULINA LARRAIN
Credential :
Telephone Number : 425-533-7411
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “MADRIGAL CARE ” Practice Location

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