Adams, Jodie Mae

Adams, Jodie Mae is an individual health care provider with primary practice located at 20055 Sw Pacific Hwy Ste 110, Sherwood OR 97140-9294. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Adams, Jodie Mae can be contacted via phone (503) 625-1691.

Contact Information

Primary practice address
20055 Sw Pacific Hwy Ste 110 Sherwood OR 97140-9294
Phone: (503) 625-1691
Fax: (503) 926-1460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5033 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60119188 Washington

Profile Details

NPI number 1376525220
LBN Legal business name Adams, Jodie Mae
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Aug 25th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376525220 NPPES
Oregon MEDICAID 269836

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