Adams, David
Adams, David is an sole proprietor health care provider with primary practice located at 3726 Se Lafayette Ct , Portland OR 97202-1874. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Adams, David can be contacted via phone (207) 504-6405.Contact Information
Primary practice address
3726 Se Lafayette Ct
Portland OR 97202-1874
Phone: (207) 504-6405
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | R7823 | Oregon |
Profile Details
| NPI number | 1750951034 |
|---|---|
| LBN Legal business name | Adams, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2021 |
| Last updated | Feb 24th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750951034 | NPPES |
| Oregon | MEDICAID | 500796881 |
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