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Individual

LISA M ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 261-1500
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 261-1500

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2307
AZ
225100000X
Physical Therapist
4816
NC
225100000X
Physical Therapist
Primary
PT00005619
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0115AD
REGENCE
WA
01
0210550
CRIME VICTIMS
WA
01
0213008
DEPT. OF LABOR & INDUST.
WA
01
0239751
L&I
WA
01
1020AD
REGENCE BS
WA
01
1170AD
REGENCE BS
WA
01
1519AD
REGENCE BS
WA
05
1831295591
WA
01
2250AD
REGENCE BS
WA
01
4416735
AETNA
WA
01
4578AD
REGENCE
WA
01
5305AD
REGENCE
WA
01
8359747
DSHS
WA
05
8359747
WA
01
8944619
L&I CRIME VICTIMS
WA
01
8948589
L&I CRIME
WA
01
911745305-98026-A016
TRICARE
WA
01
911745305-98053-A011
TRICARE
WA
01
911745305-98208-B033
TRICARE
WA
01
911745305-98275-A015
TRICARE
WA
Enumeration date
09/16/2006
Last updated
04/26/2021
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