GENNA MAXSON (NPI# 1669719407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669719407 |
Entity Type | Individual |
Full Name | GENNA MAXSON |
Practice Address |
1920 Nw Amberglen Pkwy Suite 150 Beaverton OR 97006-6980 |
Mailing Address |
Po Box 910544 Lexington KY 40591-0544 |
Practice Telephone | 9713274355 |
Mailing Telephone | 8594108550 |
Mailing Fax Number | 8592230642 |
Enumeration Date | 2013-01-14 |
Last Update Date | 2013-01-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1920 NW AMBERGLEN PKWY SUITE 150 |
City | BEAVERTON |
State | OR |
Zip Code | 97006-6980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053423400 | Chad T Pfefer | Internal Medicine | 1920 Nw Amberglen Pkwy, Ste 150, Beaverton, OR 97006-6977 | 2006-08-31 |
1013304351 | Mitchell Doser | Technician, Other | 1920 Nw Amberglen Pkwy, #150, Beaverton, OR 97006-6980 | 2015-04-24 |
1962891341 | Nichole Kinzer | Technician, Other | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2015-01-22 |
1922406388 | Kremedy LLC | Durable Medical Equipment & Medical Supplies | 1920 Nw Amberglen Pkwy, Suite 190, Beaverton, OR 97006-6980 | 2014-12-16 |
1427470509 | Kelsey Mejia | Technician, Other | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2014-01-09 |
1285971036 | Brittany Robards | Specialist/Technologist, Other | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2013-01-14 |
1639416480 | Angela Jones | Specialist/Technologist, Other | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2013-01-14 |
1922345776 | Larrisha Wells | Specialist/Technologist, Other | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2013-01-14 |
1487998647 | Living Well Pdx P C | Specialist | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2012-11-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
Find all providers in zip 97006 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285091009 | Bryon Willson | Specialist/Technologist, Other | 3350 Sw 198th Ave, Beaverton, OR 97003-2348 | 2016-01-25 |
1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
1508221227 | Alice Berry | Specialist/Technologist, Other | 1500 Nw Bethany Blvd, Suite 200, Beaverton, OR 97006-5208 | 2015-12-22 |
1285971036 | Brittany Robards | Specialist/Technologist, Other | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2013-01-14 |
1639416480 | Angela Jones | Specialist/Technologist, Other | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2013-01-14 |
1922345776 | Larrisha Wells | Specialist/Technologist, Other | 1920 Nw Amberglen Pkwy, Suite 150, Beaverton, OR 97006-6980 | 2013-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306496732 | Grady Paul Bunce | Specialist/Technologist, Other | 2525 Cal Young Rd Fl 3, Eugene, OR 97401-6477 | 2019-09-17 |
1487143129 | Angelina Lucretia Anderson | Specialist/Technologist, Other | 191 Ne Grand Ave, Portland, OR 97232-2936 | 2018-05-08 |
1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
1639525140 | Molly Ballew | Specialist/Technologist, Other | 295 E Main, Suite 10, Ashland, OR 97520-0020 | 2016-05-13 |
1114373735 | Ayako Shimba | Specialist/Technologist, Other | 2935 Se 73rd Ave, Hillsboro, OR 97123-6223 | 2016-05-12 |
1760856231 | Clifton A. J. Edwards | Specialist/Technologist, Other | 3347 Ne 164th Loop, Portland, OR 97230-5063 | 2015-11-21 |
1497183362 | Faith Tavares Pinkerton | Specialist/Technologist, Other | 61383 Hwy 97, Suite B, Bend, OR 97702-2597 | 2013-10-31 |
1285861609 | Maruska Lynch | Specialist/Technologist, Other | 12395 Se Oatfield Rd, Milwaukie, OR 97222-6954 | 2009-06-11 |
1942454400 | Valerie Jane Hefner | Specialist/Technologist, Other | 1949 Ne Lotus Dr, Bend, OR 97701-6127 | 2008-11-11 |
1043461189 | Michael A Isleman | Specialist/Technologist, Other | 7137 Sw Sagert St, Tualatin, OR 97062-8297 | 2008-10-07 |
Find all providers with the same taxonomy |
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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.