Individual
MEYSAM ADIBZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3238
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
LW61683484
WA
Other
Enumeration date
10/03/2022
Last updated
03/16/2026
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