SAMUEL MAXIE

TIGARD, OR
NPI1316718950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-01-11
Last Update Date2024-01-11
Business Address
SAMUEL MAXIE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
Mailing Address
SAMUEL MAXIE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740