DR. ROBERTA MAIXNER DNP PMHNP-BC NPI 1487803151

NPI Information

  • NPI: 1487803151
  • Provider Name: DR. ROBERTA MAIXNER, DNP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1120 SW 3RD AVE
    PORTLAND, OR
    ZIP 97204
  • Phone: (503) 988-3689

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NPI Details

DR. Roberta Maixner, DNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Portland, OR. DR. Roberta Maixner, DNP, PMHNP-BC NPI is 1487803151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1120 SW 3RD AVE
PORTLAND, OR
ZIP 97204-828
Phone: (503) 988-3689

The NPI 1487803151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2008 and was last updated on 12/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health703882CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health227411ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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