Individual
KRISTOPHER KURTIS ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 NE PARK PLAZA DR STE 145, VANCOUVER, WA 98684-5873
(360) 729-8383
(360) 729-3534
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2682
(503) 945-2800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
TE61174944
WA
103TC0700X
Clinical Psychologist
3247
OR
103TC0700X
Clinical Psychologist
Primary
TE61174944
WA
Other
Enumeration date
05/29/2020
Last updated
05/19/2021
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