Individual
MARK C ADAMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 CAMPBELL WAY, SUITE 101, BREMERTON, WA 98310-3351
(360) 479-4203
(360) 478-7240
Mailing address
1225 CAMPBELL WAY, SUITE 101, BREMERTON, WA 98310-3351
(360) 479-4203
(360) 478-7240
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD00019557
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00019557
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011459
L AND I
WA
05
—
1014067
—
WA
01
—
91110658904
KPS
WA
01
—
AD0732
REGENCE
WA
Enumeration date
08/22/2005
Last updated
09/11/2025
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