Individual
JODIE MAE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
20055 SW PACIFIC HWY, STE 110, SHERWOOD, OR 97140-9294
(503) 625-1691
(503) 926-1460
Mailing address
1700 BROADWAY ST., VANCOUVER, WA 98663
(360) 737-3346
(360) 694-7356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5033
OR
225100000X
Physical Therapist
Primary
PT60119188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269836
—
OR
Enumeration date
11/16/2005
Last updated
08/25/2010
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