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Individual

ADAM B SHAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 265-2244
Mailing address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 265-2244

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003052
CT
363A00000X
Physician Assistant
60201528
WA
363A00000X
Physician Assistant
Primary
PA180199
OR
363AM0700X
Medical Physician Assistant
001002276
NC

Other

Enumeration date
04/12/2010
Last updated
07/21/2022
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