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Individual

DR. JESSE MICHAEL ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2530
Mailing address
805 MADISON ST, STE 401, SEATTLE, WA 98104-1172
(650) 573-2530

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A122034
CA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X

Other

Enumeration date
06/30/2011
Last updated
09/23/2016
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