Individual
CLATES P ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9040 JACKSON AVE, LAKEWOOD, WA 98433
(253) 968-1110
Mailing address
9040 JACKSON AVE, LAKEWOOD, WA 98433
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0102208138
VA
Other
Enumeration date
05/26/2022
Last updated
11/02/2023
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