Maxwell, Bryan Geoffrey
Maxwell, Bryan Geoffrey is an individual health care provider with primary practice located at 707 Sw Washington St Ste 700 , Portland OR 97205-3523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Maxwell, Bryan Geoffrey can be contacted via phone (503) 299-9906.Contact Information
Primary practice address
707 Sw Washington St Ste 700
Portland OR 97205-3523
Phone: (503) 299-9906
Fax: (503) 225-9002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D75458 | Maryland |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | California | |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD172062 | Oregon |
Profile Details
| NPI number | 1922274505 |
|---|---|
| LBN Legal business name | Maxwell, Bryan Geoffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | May 15th, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922274505 | NPPES |
| Oregon | MEDICAID | 500688939 |
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