NPI 1417533886

Maxwell Lee Summerlin

Practitioner Clinical Genetics (M.D.) Physician Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 494-8311

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 2025197 (OR)

Other Medical Genetics providers in Oregon →

Registry record

NPI: 1417533886
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2021
Record last updated: 30 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.