Individual
MAKAYLA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
425 N MAIN ST, MYRTLE CREEK, OR 97457-9033
(541) 863-5258
Mailing address
321 NE POMONA ST APT 102, ROSEBURG, OR 97470-8074
(503) 887-2461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4685
OR
Other
Enumeration date
06/22/2023
Last updated
08/08/2024
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