Individual provider · Type 1 NPI

Shoshana Maxwell, DO

Family Medicine Physician · Portland, OR

NPI number 1669820080 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Call (971) 279-4800 Map

Fax (971) 279-2051

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Other practice locations

  • 703 NE Hancock St, Portland, OR 97212-3955 · (503) 230-9875

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XOP60946753 (WA)
Family Medicine Physician Primary 207Q00000XDO193262 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1669820080

Shoshana Maxwell, DO's National Provider Identifier is 1669820080, issued on May 26, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Jul 29, 2025.