Individual
MEGAN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 NE RUSSELL ST STE 203, PORTLAND, OR 97212-3763
(503) 610-8136
Mailing address
333 NE RUSSELL ST STE 203, PORTLAND, OR 97212-3763
(503) 610-8136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2022
Last updated
08/31/2023
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