Individual provider · Type 1 NPI

Adam Ryan Maxwell

Student in an Organized Health Care Education/Training Program · Kelso, WA

NPI number 1558084327 Active

Practice location

305 S Pacific Ave, Suite 102
Kelso, WA 98626

Call (360) 423-0203 Map

Fax (360) 423-5068

Mailing address

PO Box 1847
Longview, WA 98632-8140

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Counselor 101Y00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558084327

Adam Ryan Maxwell's National Provider Identifier is 1558084327, issued on Sep 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kelso, WA. The record was last updated on Sep 26, 2022.