Dexter, Maxine E
Dexter, Maxine E is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Dexter, Maxine E can be contacted via phone (503) 571-8318.Contact Information
Primary practice address
10180 Se Sunnyside Rd
Clackamas OR 97015-8970
Phone: (503) 571-8318
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42441 | Colorado |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD28226 | Oregon |
Profile Details
| NPI number | 1306959580 |
|---|---|
| LBN Legal business name | Dexter, Maxine E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Feb 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306959580 | NPPES |
| Colorado | MEDICAID | 52957764 |
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