MEDICARE: DARIAN MADISON

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	225700000X	Massage Therapist	27216	OR

General Provider Information

NPI Number	:	1801686738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIAN MADISON

Provider Business Mailing Address
First Line	:	3008 SIGNATURE CT
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-7757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 E PINE ST STE 101
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-2482
Country	:	US
Telephone Number	:	541-531-7730
Fax Number	:

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

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	05/12/2025

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Directions to “ DARIAN MADISON ” Practice Location

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