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MRS. MADELAINE CATHLEEN MCCULLOUGH PA-C
NPI 1225070923
Physician Assistant - Medical in Olympia, WA

Active since June 10, 2006
8419 KERBAUGH RD NE, OLYMPIA, WA 98516(303) 359-1730 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Madelaine Cathleen Mccullough Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MADELAINE CATHLEEN MCCULLOUGH PA-C (NPI 1225070923) is an individual medical provider in Olympia, Washington, licensed in Washington (61169119) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1225070923
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MADELAINE CATHLEEN MCCULLOUGHCredential: PA-C
Location Address8419 KERBAUGH RD NEOlympia, WA 98516-9349
Mailing Address17950 Preston Rd, Ste 250Dallas, TX 75252-5793 · (972) 354-5720 · Fax (972) 354-5747
Phone(303) 359-1730
Sole ProprietorYes
Enumeration DateJune 10, 2006
Last NPPES UpdateSeptember 4, 2023
NPPES CertifiedSeptember 4, 2023
✔ NPI 1225070923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · 61169119
8419 KERBAUGH RD NE, Olympia, WA 98516
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Other Identifiers 1

Medicaid25954555CO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madelaine Mccullough's NPI number?

The NPI number for Madelaine Mccullough is 1225070923. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Madelaine Mccullough located?

Madelaine Mccullough practices at 8419 Kerbaugh Rd NE, Olympia, WA 98516. The listed phone number is (303) 359-1730.

What is Madelaine Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Madelaine Mccullough was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.