Individual provider · Type 1 NPI

Madison Elaina Rose

Mental Health Counselor · Medford, OR

NPI number 1619798865 Active

Practice location

503 Airport Rd Ste 101
Medford, OR 97504-4159

Call (541) 200-2900 Map

Fax (541) 200-2948

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Other practice locations

  • 201 W 6th St, Medford, OR 97501-2708 · (541) 200-2900

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619798865

Madison Elaina Rose's National Provider Identifier is 1619798865, issued on Oct 21, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Aug 28, 2026.