Individual
ALEKSEY MAKSIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4757 PARKVIEW DR APT B, LAKE OSWEGO, OR 97035-2426
(415) 240-7712
Mailing address
4757 PARKVIEW DR APT B, LAKE OSWEGO, OR 97035-2426
(415) 240-7712
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201243205RN
OR
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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