Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1881298081


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MAXIMILIANO NEALON


Sex: Male

NPI: 1881298081
Last Updated: 2020-11-28
Certification Date: 2020-11-28

Details

NameValue
NPI1881298081
Enumeration Date2020-11-28
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1204 SE 51ST AVE
PORTLAND, OR 97215-2615
United States

Phone: | Fax:
 
Primary Practice Address 1204 SE 51ST AVE
PORTLAND, OR 97215-2615
United States

Phone: 720-352-2876 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalORC5927