Mr Maurice A Ajaifia, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Grand Ronde, Oregon. Mr Maurice A Ajaifia is licensed to practice in Oregon (license number 10014932) and his current practice location is
9605 Grand Ronde Rd, Grand Ronde, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 879-2026.
NPI number for Mr Maurice A Ajaifia is 1083288682 and his current mailing address is 9605 Grand Ronde Rd, Grand Ronde, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083288682.
Provider's Profile
Full Name | Mr Maurice A Ajaifia |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083288682
- Provider Enumeration Date: 05/18/2021
- Last Update Date: 01/09/2024
Medical Identifiers
Medical identifiers for Mr Maurice A Ajaifia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083288682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61391953 (Washington) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10014932 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Maurice A Ajaifia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Maurice A Ajaifia, PMHNP 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2060 | Mr Maurice A Ajaifia, PMHNP 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2026 |
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