Maxwell, Charlene Afable
Maxwell, Charlene Afable is an sole proprietor health care provider with primary practice located at 600 Ne 8Th St #300, Gresham OR 97030-7317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maxwell, Charlene Afable can be contacted via phone (503) 988-5155.Contact Information
Primary practice address
600 Ne 8Th St #300
Gresham OR 97030-7317
Phone: (503) 988-5155
Fax: (509) 988-5185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201391238NP-PP | Oregon |
Profile Details
| NPI number | 1962742460 |
|---|---|
| LBN Legal business name | Maxwell, Charlene Afable |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2013 |
| Last updated | Aug 11th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962742460 | NPPES |
| Oregon | MEDICAID | 096511 | |
| Oregon | MEDICAID | 22959 |
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