Individual
MRS. SAMANTHA SHERWOOD MAXFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 SW RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 476-6644
Mailing address
495 SW RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 476-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA216475
OR
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
11/30/2023
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