MAXWELL DANIEL GRUBER


Address: 14406 Ne 20th Ave, Vancouver, WA 98686-1448
Phone: 8008132000

MAXWELL DANIEL GRUBER (NPI# 1649759531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649759531
Entity Type Individual
Full Name MAXWELL DANIEL GRUBER
Practice Address 14406 Ne 20th Ave
Vancouver
WA 98686-1448
Mailing Address 1558 E Overbluff Rd
Spokane
WA 99203-3763
Practice Telephone 8008132000
Mailing Telephone 5099934789
Enumeration Date 2018-08-10
Last Update Date 2018-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 14406 NE 20TH AVE
City VANCOUVER
State WA
Zip Code 98686-1448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889748 Panagiotis Fourtounis Specialist 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2005-05-23
1821632944 Aleksandra S Velychko Dental Assistant 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2019-10-31
1346892759 Rebecca Olmsted Dental Assistant 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2019-07-15
1083184840 Colleen Bernice Yoakum Dental Hygienist 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2018-12-04
1639656077 Jeffrey Douglas Deyo Pharmacist 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2018-07-27
1962994350 Scott Shattuck Pharmacist 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2018-06-01
1508318734 Kaiser Foundation Health Plan of The Northwest Dentist 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2016-11-04
1265984249 Kaiser Foundation Health Plan of The Northwest General Practice 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2016-10-26
1790160521 Laurel Ann Staton-smith Registered Nurse 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2015-07-22
1730576901 Joelle Osterhaus Social Worker 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2015-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154891117 Dorota Bozena Barton Speech-Language Pathologist 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 2018-12-03
1881161818 Michelle Wolfe Dental Assistant A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 2018-10-29
1306321237 Rainier Springs Physician Group, LLC General Practice 2805 Ne 129th Street, Vancouver, WA 98686 2018-09-26
1801382387 Kristopher K Kostenko Dentist 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 2018-07-08
1689164071 Tegan Mills Occupational Therapist 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 2018-05-11
1164924122 Kate Kristin Lawrence Speech-Language Pathologist 2215 Ne 104th St, Vancouver, WA 98686 2018-03-06
1437609567 Elina Baranets Registered Nurse 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 2016-10-13
1386039550 Sean Vikram Bhatia Internal Medicine Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 2015-04-03
1376988642 Lindsay Hussey-andersen Orthopaedic Surgery 2525 Ne 139th St Ste 140, Vancouver, WA 98686 2013-05-01
1710253109 Legacy Salmon Creek Hospital Speech-Language Pathologist 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 2012-03-29
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538784558 Thomas Owen Hall Student in an Organized Health Care Education/Training Program 11004 Ne 97th Ave, Vancouver, WA 98662-1578 2020-06-15
1417577883 Selina Kwok-yung Wong Student in an Organized Health Care Education/Training Program 501-2851 Heather Street, Vancouver, BC V5Z 0A2 2020-04-25
1720607179 Yehuda Mivasair Student in an Organized Health Care Education/Training Program 2644 Manitoba Street, Vancouver, BRITISH COLUMBIA V5Y3A8 2020-04-15
1356992358 Jennifer Denise Pors Student in an Organized Health Care Education/Training Program 3203 910 W 10th Avenue Jennefer Pors, Department of Pathology and Laboratory Medicine Vancouv, Vancouver, BC V5Z 4E3 2019-09-23
1336799022 Alaina George Student in an Organized Health Care Education/Training Program 3209 Grant St, Vancouver, WA 98660-2056 2019-09-16
1508323890 Faustine Pamela Wallum Student in an Organized Health Care Education/Training Program 7405 Ne 56th Ave, Vancouver, WA 98661-1047 2019-02-22
1962974840 Rachel Guffey Student in an Organized Health Care Education/Training Program 2615 Ne 114th St, Vancouver, WA 98686-4237 2018-12-17
1831660471 Terri Sun Student in an Organized Health Care Education/Training Program 1202-668 Citadel Parade, Vancouver, BRITISH COLUMBIA V6B1W6 2018-12-07
1235616400 Karandeep Prehar Student in an Organized Health Care Education/Training Program 8608 Ne 31st Cir, Vancouver, WA 98662-6830 2018-07-20
1407344872 Kyle Besaw Student in an Organized Health Care Education/Training Program 300 E 33rd St Ste 100, Vancouver, WA 98663 2018-05-01
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Competitor

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City VANCOUVER
Zip Code 98686

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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