SearchWashington390200000X

Adam Maxwell

NPI 1558084327 · on the registry since 2022

Practice

Address
305 S Pacific Ave
Suite 102
Kelso, WA 98626
Phone
(360) 423-0203
Fax
(360) 423-5068
Clinicians at this address
4

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-26

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