Individual
KATHRYN LEE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1426 OAK ST, EUGENE, OR 97401-4043
(541) 431-0000
(541) 344-6176
Mailing address
1066 E 20TH AVE, EUGENE, OR 97405-3010
(734) 891-7442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO166161
OR
207R00000X
Internal Medicine Physician
OP60356174
WA
Other
Enumeration date
03/19/2010
Last updated
04/03/2017
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