Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maksim Yefimov

Individual provider Physician Assistant · NPI 1447812268

Maksim Yefimov is a Physician Assistant in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2800 N Vancouver Ave Ste 130
Portland, OR 97227
Phone: (503) 944-6300
Fax: (503) 413-4470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26630 Barton Rd Apt 1824, Redlands, CA 92373-4329 — (360) 213-7150

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA196278 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1447812268
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 1, 2019
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing addressPo Box 3777, Portland, OR 97208-3777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland