Individual provider · Type 1 NPI

Samuel Maxie

Mental Health Counselor · Tigard, OR

NPI number 1316718950 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3740 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316718950

Samuel Maxie's National Provider Identifier is 1316718950, issued on Jan 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jan 11, 2024.