Individual provider · Type 1 NPI

Maxwell Lee Summerlin

Clinical Genetics (M.D.) Physician · Portland, OR

NPI number 1417533886 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8311 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Genetics (M.D.) Physician Primary 207SG0201X2025197 (OR)

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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About NPI 1417533886

Maxwell Lee Summerlin's National Provider Identifier is 1417533886, issued on Mar 24, 2021. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Portland, OR. The record was last updated on Apr 30, 2026.