Samantha Sherwood Maxfield
Physician Assistant in Grants Pass, OR. Individual provider (NPI-1).
NPI number1710690987
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1710690987
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Samantha Sherwood Maxfield
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2023
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 207Q00000X | Family Medicine | PA216475 | OR |
Practice location
495 Sw Ramsey AveGrants Pass, OR 97527-5681
Phone 541-476-6644
Mailing address
495 Sw Ramsey AveGrants Pass, OR 97527-5681
Phone 541-476-6644
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All 43 Physician Assistant providers in Grants Pass · All 2,537 providers in Grants Pass
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