Search › Oregon › 225700000X
Max Mikelson
NPI 1104787746 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3807 Ne Killingsworth St
Portland, OR 97211 - Phone
- (971) 420-5105
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon