MAXWELL LEE SUMMERLIN

PORTLAND, OR
NPI1417533886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207SG0201X Medical Genetics, Clinical Genetics (M.D.)
(Licence: OR  2025197)
Enumeration Date2021-03-24
Last Update Date2026-04-30
Business Address
MAXWELL LEE SUMMERLIN
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
Mailing Address
MAXWELL LEE SUMMERLIN
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: