MAXINE MAY FOOKSON

PORTLAND, OR
NPI1689727885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR  087006458N2)
Enumeration Date2007-01-19
Last Update Date2009-01-06
Business Address
-- MAXINE MAY FOOKSON PNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
Mailing Address
-- MAXINE MAY FOOKSON PNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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