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1497446447
MAXWELL CHARLES POOLE
PORTLAND, OR
NPI
1497446447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA214802)
Enumeration Date
2023-05-18
Last Update Date
2023-09-13
Business Address
Mr. MAXWELL CHARLES POOLE
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-346-1500
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Mailing Address
Mr. MAXWELL CHARLES POOLE
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855
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