Individual
KAYLEEN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(360) 759-1901
Mailing address
10804 NE 38TH AVE, VANCOUVER, WA 98686-4337
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
712411
CA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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