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Individual

CHARLES D ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1813 SUMNER ST, ABERDEEN, WA 98520
(360) 538-1293
(360) 537-4217
Mailing address
PO BOX 34703, SEATTLE, WA 98124
(206) 764-3335
(206) 764-0489

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00011605
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012301
WA
Enumeration date
06/26/2006
Last updated
11/21/2007
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