SearchWashington225X00000X

Maxwell Wilson

NPI 1417819848 · on the registry since 2025

Practice

Address
200 Triangle Center #270
Longview, WA 98632
Phone
(360) 501-3750
Fax
(360) 501-3755
Clinicians at this address
6

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-23

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 Washington