Madison Nicole Caba

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Happy Valley, OR

NPI 1992530737 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1992530737
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
10822 SE 82ND Ave
Happy Valley, OR 97086-7658
Phone
(503) 654-7444
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Coda, Inc. Addiction (Substance Use Disorder) Current
since Sep 8, 2024
Accepting new patients
Coda, Inc. Current
since Sep 8, 2024
Accepting new patients

Locations

1027 E Burnside St
Portland, OR 97214

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

10822 SE 82ND Ave
Happy Valley, OR 97086-7658

Mailing address

1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400

Other providers in Happy Valley, OR

All providers in Happy Valley, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.