Robert Madda, N.D., L.AC.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1802 Issued in OR

Practice address

1536 NW 23Rd Ave
Portland, OR 97210-2618

Phone

(503) 347-4625

Fax

(503) 208-7105

NPI assigned

Sep 9, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1992954408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 NW 23RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102618",
            "telephone_number": "503-347-4625",
            "fax_number": "503-208-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 NW 23RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102618",
            "telephone_number": "503-347-4625",
            "fax_number": "503-208-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "N.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "153733",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1802",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10268",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "NDF 184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stephen Macveigh, MD
• Elena Macwilliams
• Rebecca Ann Macy, MA, RYT
• Kunal Madan, PHARMD
• Hannah Sage Madans, BA, PSS
• Brooke M Madden, M.D.
• Erica Madden
• Karen A Madden, RN
• Kathleen Anne Madden, MA
• Mayura Phadtare Madden, MD

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.