Individual
ADAM GEMMILL KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7409 SE SHERRETT ST, PORTLAND, OR 97206-8675
(215) 262-4718
Mailing address
7409 SE SHERRETT ST, PORTLAND, OR 97206-8675
(215) 262-4718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
20074175RN
OR
163W00000X
Registered Nurse
RN00173377
WA
174400000X
Specialist
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
200760019CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
AP30007764
WA
Other
Enumeration date
06/07/2006
Last updated
12/30/2015
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