RICHARD SHANE MADDOX

MCMINNVILLE, OR
NPI1194151530
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-09-17
Last Update Date2019-02-06
Business Address
Mr. RICHARD SHANE MADDOX QMHA
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
Mailing Address
Mr. RICHARD SHANE MADDOX QMHA
445 THIRD AVE SW P.O. BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3866
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