Individual
ADAM NISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MS
Contact information
Practice address
15418 MAIN ST, MILL CREEK, WA 98012-9030
(425) 225-8000
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60880471
WA
Other
Enumeration date
11/29/2014
Last updated
09/27/2023
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