Individual
DR. JACOB ROSS MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 828-5396
(360) 828-5455
Mailing address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(360) 828-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO166199
OR
Other
Enumeration date
03/30/2010
Last updated
05/27/2021
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