Madalyn Kelly Yowell, CAREGIVER
Individual provider Active NPI Attendant Care Provider · Milwaukee, OR
NPI 1831731397 · NPPES record last updated Oct 16, 2019
Key facts
- NPI
- 1831731397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 7809 Southeast Southgate Street
Milwaukee, OR 97222 - Phone
- (541) 554-6690
- NPI assigned
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | OR | Yes |
Addresses
Primary practice location
7809 Southeast Southgate Street
Milwaukee, OR 97222
Mailing address
7-150 Ridgewood Dr
Gladstone, OR 97027
Phone (803) 756-6394
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 763525 | Medicaid | OR |
Other providers in Milwaukee, OR
All providers in Milwaukee, OR · Attendant Care Provider in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.