Fookson, Maxine May
Fookson, Maxine May is an individual health care provider with primary practice located at 426 Sw Stark St 8Th Floor, Portland OR 97204-2347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fookson, Maxine May can be contacted via phone (503) 988-3674.Contact Information
Primary practice address
426 Sw Stark St 8Th Floor
Portland OR 97204-2347
Phone: (503) 988-3674
Fax: (503) 988-5183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 087006458N2 | Oregon |
Profile Details
| NPI number | 1689727885 |
|---|---|
| LBN Legal business name | Fookson, Maxine May |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jan 6th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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