Individual
DR. MARK CHRISTOPHER ADAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147 #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
252118
MA
207L00000X
Anesthesiology Physician
Primary
MD166550
OR
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD166550
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500673878
—
OR
01
—
R177575
MEDICARE
OR
Enumeration date
05/29/2008
Last updated
09/18/2020
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