Individual
XAVIER MAX MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2559
(509) 456-0107
(509) 747-2635
Mailing address
427 S BERNARD ST, SPOKANE, WA 99204-2559
(509) 456-0107
(509) 747-2635
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01089469A
IN
207W00000X
Ophthalmology Physician
Primary
MD61442740
WA
Other
Enumeration date
03/23/2019
Last updated
02/06/2025
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