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Individual

GEORGE MAXWELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
12195 SW ALLEN BLVD, BEAVERTON, OR 97005-4720
(503) 646-0697
(503) 646-0698
Mailing address
12195 SW ALLEN BLVD, BEAVERTON, OR 97005-4720
(503) 646-0697
(503) 646-0698

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273156
OR

Other

Enumeration date
03/07/2007
Last updated
08/14/2009
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