Individual
JEDEDIAH JAMES ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, C-NDT
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-5355
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-5355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61207
OR
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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