Individual
MAKSIM YEFIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 N VANCOUVER AVE STE 130, PORTLAND, OR 97227
(503) 944-6300
(503) 413-4470
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA196278
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/01/2019
Last updated
12/09/2019
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