Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD155802 | OR |
NPI | 1073723656 |
---|---|
Provider Name | Dr. Erin Janelle Madriago |
First Address | Portland, OR 97239-2901 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 27/03/2013 |