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General NPI Number Information
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NPI Number | 1588458640
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Entity Type | Individual
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Provider Name | ANDREW MICHAEL MAIER
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Gender | Male
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 9205 SW BARNES RD
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City | PORTLAND
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State | OR
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Zip | 97225-6603
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Country | US
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Telephone | 503-216-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 808 NW 19TH AVE APT 102
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City | PORTLAND
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State | OR
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Zip | 97209-1477
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Country | US
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Telephone | 585-200-6212
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201807567RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10045955
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License Number State | OR
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