Individual
MAXFIELD KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 S FLOWER ST, PORTLAND, OR 97239-3797
(503) 349-2281
Mailing address
333 S FLOWER ST, PORTLAND, OR 97239-3797
(503) 349-2281
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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