| C. David Maxey, M.a. | |
|
6950 Sw Hampton St Ste 207 Portland OR 97223-8234 | |
| (503) 928-4182 | |
| (503) 926-6433 |
| Full Name | C. David Maxey, M.a. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6950 Sw Hampton St Ste 207, Portland, Oregon |
| Authorized Official Name and Position | Charles David Maxey (LICENSED PSYCHOLOGIST ASSOCIATE) |
| Authorized Official Contact | 5039284182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. David Maxey, M.a. 6950 Sw Hampton St Ste 207 Portland OR 97223-8234 Ph: (503) 928-4182 | C. David Maxey, M.a. 6950 Sw Hampton St Ste 207 Portland OR 97223-8234 Ph: (503) 928-4182 |
| NPI Number | 1699398792 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 07/17/2022 |
| Certification Date | 07/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699398792 | NPI | - | NPPES |
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