SearchOregon1041C0700X

Madelyn Antinucci, LCSW

NPI 1538207287 · on the registry since 2007

Practice

Address
2415 Se 43rd Ave
Suite 100
Portland, OR 97206
Phone
(503) 238-0705
Fax
(503) 963-7124
Clinicians at this address
159

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon