Maxine May Fookson in Portland - Pediatrics
Maxine May Fookson - NPI 1689727885
Maxine May Fookson is a Pediatrics in Portland, Oregon. Maxine May Fookson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Maxine May Fookson is 1689727885. The last update date is 2009-01-06.
Maxine May Fookson's current location address is 426 Sw Stark St, Portland, Oregon. You can contact this provider via phone number 5039883674 and fax number 5039885183. The mailing address for Maxine May Fookson is 426 Sw Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maxine May Fookson |
|---|---|
| Address | 426 Sw Stark St, Portland, Oregon |
| Phone Number | 5039883674 |
| Fax Number | 5039885183 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1689727885 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2009-01-06 |
Provider Mailing Address Detail
| Address | 426 Sw Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972042347 |
| Phone Number | 5039883674 |
| Fax Number | 5039885183 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 087006458N2 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique identification code assigned to Maxine May Fookson by the Centers for Medicare & Medicaid Services?
The Maxine May Fookson has been issued the NPI (National Provider Identifier) 1689727885. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Maxine May Fookson located?
The Maxine May Fookson is located at 426 Sw Stark St, Portland, OR 972042347.
What is the Maxine May Fookson's specialty and taxonomy code?
The Maxine May Fookson's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date was the 1689727885 assigned to Maxine May Fookson?
The Maxine May Fookson was issued its 1689727885 on 2007-01-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Maxine May Fookson's information last updated?
The Maxine May Fookson's information was last updated on 2009-01-06.
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