Individual
MAXWELL RYAN KUAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1901 ESTHER ST, NEWBERG, OR 97132-9529
(866) 866-4662
Mailing address
1901 ESTHER ST, NEWBERG, OR 97132-9529
(866) 866-4662
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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