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Individual

DAVID ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3726 SE LAFAYETTE CT, PORTLAND, OR 97202-1874
(207) 504-6405
Mailing address
605 SE CESAR ESTRADA CHAVEZ BLVD, PORTLAND, OR 97214

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
R7823
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500796881
OR
Enumeration date
06/29/2021
Last updated
02/24/2023
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