Individual
JEANNE M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
176 NE SCHOOL ST, CHEHALIS, WA 98532-2640
(360) 748-8272
(360) 748-6915
Mailing address
176 NE SCHOOL ST, CHEHALIS, WA 98532-2640
(360) 748-8272
(360) 748-6915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016415
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1359108
—
WA
01
—
L00010
REGENCE BLUE SHIELD
WA
Enumeration date
08/30/2006
Last updated
07/08/2007
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