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Individual

MAXWELL JAMES HOPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Mailing address
275 EASTLAND RD, BEREA, OH 44017-2005

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA220586
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2023
Last updated
07/27/2024
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