Individual
MR. RYAN GARDNER MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
8905 SW NIMBUS AVE STE 300, BEAVERTON, OR 97008-7162
(503) 352-0468
Mailing address
8905 SW NIMBUS AVE STE 300, BEAVERTON, OR 97008-7162
(503) 352-0468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125872
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201407865NP-PP
OR
Other
Enumeration date
06/25/2014
Last updated
02/03/2026
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