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MADELYNN R TICE QMHA-I
NPI 1285233460
Counselor - Mental Health in Gresham, OR

Active since October 20, 2020
620 NE 2ND ST, GRESHAM, OR 97030(971) 274-3757(503) 912-5740 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Dec 1, 2020, Nov 17, 2020 and 1 more (4 updates tracked since 2020).

About Madelynn R Tice Qmha-i NPPES

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

MADELYNN R TICE QMHA-I (NPI 1285233460) is an individual mental health provider in Gresham, Oregon, licensed in Oregon (21-QMHA-I-003183) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1285233460
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADELYNN R TICECredential: QMHA-I
Location Address620 NE 2ND STGresham, OR 97030-7514
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(971) 274-3757
Fax(503) 912-5740
Sole ProprietorNo
Enumeration DateOctober 20, 2020
Last NPPES UpdateJuly 21, 20214 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1285233460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in OR · 21-QMHA-I-003183✔ Licensed in OR · 20-QMHA-R-0816
620 NE 2ND ST, Gresham, OR 97030
Open in Google Maps ↗

Other Identifiers 1

Medicaid500785589OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHY A LITVIN CSWA/QMHP-C
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
MISS ELIZABETH L VALADEZ CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
CHRISTINA H COLLIER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JESSICA A TRAILER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DANIELLE CURTIS CRM-II CADC-I QMHA-R
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
ALBIE M LEMOS CADC-R/CSWA
Social Worker
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JUDITH YADIRA BRACAMONTES QMHA-R
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DUANE W KOWALSKI CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757

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 Madelynn Tice's NPI number?

The NPI number for Madelynn Tice is 1285233460. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Madelynn Tice located?

Madelynn Tice practices at 620 NE 2nd St, Gresham, OR 97030. The listed phone number is (971) 274-3757.

What is Madelynn Tice's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Madelynn Tice was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.