Individual
KARI M MAIXNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
13509 NW INDIAN SPRING DR, VANCOUVER, WA 98685-1635
(360) 600-2193
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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