Maxwell Dietmar Boenisch
Maxwell Dietmar Boenisch is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
Portland, ORNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1326861360 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 7, 2024 |
| Last updated in NPPES | November 7, 2024 |
| Certification date | November 7, 2024 |
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