Individual provider · Type 1 NPI

Maxine May Fookson, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1689727885 Active

Practice location

426 SW Stark St, 8th Floor
Portland, OR 97204-2347

Fax (503) 988-5183

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X087006458N2 (OR)

Pediatric Nurse Practitioner: Definition to come...

79 other providers at this address

Other pediatric nurse practitioner providers in Portland

See all in Portland →

About NPI 1689727885

Maxine May Fookson, PNP's National Provider Identifier is 1689727885, issued on Jan 19, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jan 6, 2009.