Individual
ADAM T WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1282
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2012013499
MO
207Q00000X
Family Medicine Physician
Primary
DO182303
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500731908
—
OR
Enumeration date
06/30/2010
Last updated
02/04/2022
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