Individual
ADAM B PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
734 ELM ST SW, ALBANY, OR 97321-1934
(541) 812-5111
(541) 812-5127
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD27919
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0584862
—
IA
01
—
1202874
MEDICA
MN
01
—
132075
UCARE
MN
01
—
2178714
AMERICAS PPO
MN
05
—
343664100
—
MN
01
—
410849339 56001 H007
CHAMPUS
—
01
—
443R3PA
BCBS
MN
01
—
HP42381
HEALTH PARTNERS
MN
01
—
NA2951041335
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
11/03/2020
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