Individual
MR. CORY WILLIAM ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.N., CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201401678CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
R185737
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024436800
—
MD
Enumeration date
04/06/2009
Last updated
04/17/2016
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