Individual provider · Type 1 NPI

Marco Jan Madian, LMT

Other Technician · Portland, OR

NPI number 1992000277 Active

Practice location

2442 SE 101st Ave, Ste 206
Portland, OR 97216-3060

Mailing address

PO Box 12069
Portland, OR 97212-0069

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X15569 (OR)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1992000277

Marco Jan Madian, LMT's National Provider Identifier is 1992000277, issued on Jan 19, 2011. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Portland, OR. The record was last updated on Jan 19, 2011.