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Individual

DR. MAXWELL CHARLES FURR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2222 NW LOVEJOY ST, 607, PORTLAND, OR 97210-3033
(503) 222-3638
(503) 223-5139
Mailing address
2222 NW LOVEJOY ST, 607, PORTLAND, OR 97210-3033
(503) 222-3638
(503) 223-5139

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD158313
OR
390200000X
Student in an Organized Health Care Education/Training Program
LL16317
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500648038
OR
Enumeration date
07/03/2007
Last updated
11/07/2023
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