Individual provider · Type 1 NPI

Joaquina Rainbow Madison, CRM II, PSS

Peer Specialist · Roseburg, OR

NPI number 1376208397 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 672-2691 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-25-5620 (OR)
Peer Specialist Primary 175T00000X23-CRM-II-0162 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1376208397

Joaquina Rainbow Madison, CRM II, PSS's National Provider Identifier is 1376208397, issued on Nov 4, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Roseburg, OR. The record was last updated on Jan 8, 2026.