Joaquina Rainbow Madison, CRM II, PSS is a
Peer Specialist based in Roseburg, Oregon. Joaquina Rainbow Madison is licensed to practice in Oregon (license number 23-CRM-II-0162) and her current practice location is
621 W Madrone St, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 672-2691.
NPI number for Joaquina Rainbow Madison is 1376208397 and her current mailing address is Po Box 1121, Roseburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376208397.
Healthcare Provider's Profile
| Full Name | Joaquina Rainbow Madison |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 621 W Madrone St, Roseburg, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376208397
- Provider Enumeration Date: 11/04/2021
- Last Update Date: 01/08/2026
Medical Identifiers
Medical identifiers for Joaquina Rainbow Madison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376208397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-25-5620 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 23-CRM-II-0162 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joaquina Rainbow Madison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Joaquina Rainbow Madison, CRM II, PSS Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 672-2691 | Joaquina Rainbow Madison, CRM II, PSS 621 W Madrone St, Roseburg, OR 97470-3090 Ph: (541) 672-2691 |
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