Individual
JEREMY T ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1135 116TH AVE NE STE 570, BELLEVUE, WA 98004-4632
(253) 797-4908
Mailing address
PO BOX 4189, CHICO, CA 95927-4189
(530) 990-5889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61053308
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61054516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00148619
RAILROAD MEDICARE (RRM)
—
05
—
RN5104400
—
CA
Enumeration date
05/04/2006
Last updated
05/22/2023
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