Individual provider · Type 1 NPI

Maxwell Charles Poole

Surgical Physician Assistant · Portland, OR

NPI number 1497446447 Active

Practice location

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

Call (503) 346-1500 Map

Fax (503) 346-1501

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 28594 Gimpl Hill Rd, Eugene, OR 97402-9043 · (541) 852-8062

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA214802 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1497446447

Maxwell Charles Poole's National Provider Identifier is 1497446447, issued on May 18, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Sep 13, 2023.