Provider Demographics
NPI:1518679356
Name:MAXIMUM HEALTH CLINIC II LLC
Entity Type:Organization
Organization Name:MAXIMUM HEALTH CLINIC II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:PAETZHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DC, ND, LAC
Authorized Official - Phone:503-557-8444
Mailing Address - Street 1:1832 WILLAMETTE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4550
Mailing Address - Country:US
Mailing Address - Phone:503-557-8444
Mailing Address - Fax:503-557-8461
Practice Address - Street 1:1832 WILLAMETTE FALLS DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4550
Practice Address - Country:US
Practice Address - Phone:503-557-8444
Practice Address - Fax:503-557-8461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty