MR. Richard Shane Maddox, QMHA
NPI #1194151530 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1194151530
- Entity Type
- Individual
- Name
- MR. Richard Shane Maddox, QMHA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- QMHA
- Enumeration Date
- Sep 17, 2013
- Last Updated
- Feb 6, 2019
Practice Location
- Address
- 627 NE EVANS ST
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-3923
- Phone
- (503) 434-7523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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