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Contact Information

OLEG MAKSIMOV, MD
689 NW BURNSIDE RD FL 2
GRESHAM, OR97030-3739
 Phone: 503-382-8106
 Fax: 503-382-8100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for OLEG MAKSIMOV · (Male)

NPI # 1780796326
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 09/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD28526
  • PA License # MD431737
Hospital affiliation(s)
  • ADVENTIST MEDICAL CENTER - (Acute Care)
    10123 SE MARKET STREET
    PORTLAND, OR 97216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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