Individual provider · Type 1 NPI

Madelyn Anne Nicklous

Mental Health Counselor · Wilsonville, OR

NPI number 1144188947 Active

Practice location

29120 SW San Remo Ct
Wilsonville, OR 97070-7373

Call (503) 682-1840 Map

Fax (503) 682-1873

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...

28 other providers at this address

Other mental health counselor providers in Wilsonville

See all in Wilsonville →

About NPI 1144188947

Madelyn Anne Nicklous's National Provider Identifier is 1144188947, issued on Jan 12, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilsonville, OR. The record was last updated on Jan 12, 2026.