Individual
MAXINE E DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-8318
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-8318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42441
CO
207RP1001X
Pulmonary Disease Physician
Primary
MD28226
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52957764
—
CO
Enumeration date
08/15/2006
Last updated
02/04/2022
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