Individual provider · Type 1 NPI

Madison Grace Hall

Mental Health Counselor · Milwaukie, OR

NPI number 1124820261 Active

Practice location

11458 SE Mceachron Ave
Milwaukie, OR 97222-1264

Call (503) 305-6296 Map

Fax (503) 387-5279

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124820261

Madison Grace Hall's National Provider Identifier is 1124820261, issued on Mar 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukie, OR. The record was last updated on Jun 10, 2025.