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MAXINE MAY FOOKSON PNP
NPI 1689727885
Nurse Practitioner - Pediatrics in Portland, OR

Active since January 19, 2007
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204(503) 988-3674(503) 988-5183 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maxine May Fookson Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXINE MAY FOOKSON PNP (NPI 1689727885) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (087006458N2) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1689727885
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMAXINE MAY FOOKSONCredential: PNP
Location Address426 SW STARK ST, 8TH FLOORPortland, OR 97204-2347
Mailing Address426 Sw Stark St, 8th FloorPortland, OR 97204-2347 · (503) 988-3674 · Fax (503) 988-5183
Phone(503) 988-3674
Fax(503) 988-5183
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJanuary 6, 2009
✔ NPI 1689727885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OR · 087006458N2
426 SW STARK ST, Portland, OR 97204
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Other Identifiers 2

Medicare ID-Type Unspecified106215OR
Medicare UPINS98081OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE LIDDICOAT CHN
Registered Nurse (Community Health)
426 SW STARK ST, 3RD FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3417
DR. STEVEN COLIN JACKSON MD
Family Medicine
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
KATHLEEN MARY GLOVER PNP
Nurse Practitioner (Pediatrics)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
ANNE T DALY FNP
Nurse Practitioner (Family)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
MARILYN P SMITH
Counselor (Professional)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
DR. RICHARD PAUL HOULE MD
Internal Medicine
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
CEARA MEGAN CARDER MSW
Social Worker (Clinical)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
TERESA BLANSHINE CHN
Registered Nurse (Community Health)
426 SW STARK ST, 3RD FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxine Fookson's NPI number?

The NPI number for Maxine Fookson is 1689727885. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Maxine Fookson located?

Maxine Fookson practices at 426 SW Stark St 8th Floor, Portland, OR 97204. The listed phone number is (503) 988-3674.

What is Maxine Fookson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Maxine Fookson was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.