Individual
MR. ADAM SPENCER KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
61245 BIGHORN CT, BEND, OR 97702-2089
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA164524
OR
363A00000X
Physician Assistant
PA2153
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500662897
—
OR
01
—
P01306469
MEDICARE RAILROAD
OR
Enumeration date
07/30/2010
Last updated
02/03/2022
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