| Doctor Name: | CORTNEY MADEIRA |
| NPI Number: | 1013203504 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS ED/ CAS |
| License Number: | |
| Business Practice Address: | 4455 Ne Highway 20 Corvallis, OR - 97330 |
| Business Phone Number: | 5417585900 |
| Business Fax Number: | 5417529270 |
| Mailing Address: | 3415 Se Powell Boulevard, PORTLAND |
| State: | OR |
| Postal Code: | 97202 |
| Phone Number: | 5032349591 |
| Fax Number: | 5417529270 |
| NPI Enumeration Date: | 06/22/2011 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |