Individual
ADAM THOMAS CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1152 DOUGLAS ST, LONGVIEW, WA 98632-2452
(360) 940-0880
(844) 697-8702
Mailing address
43575 MISSION BLVD STE 716, FREMONT, CA 94539-5831
(408) 476-0624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60549062
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044894
—
WA
Enumeration date
02/18/2010
Last updated
11/26/2024
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