Adams, Jodie Mae
Adams, Jodie Mae is an individual health care provider with primary practice located at 20055 Sw Pacific Hwy Ste 110, Sherwood OR 97140-9294. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Adams, Jodie Mae can be contacted via phone (503) 625-1691.Contact Information
Primary practice address
20055 Sw Pacific Hwy Ste 110
Sherwood OR 97140-9294
Phone: (503) 625-1691
Fax: (503) 926-1460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5033 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT60119188 | Washington |
Profile Details
| NPI number | 1376525220 |
|---|---|
| LBN Legal business name | Adams, Jodie Mae |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Aug 25th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376525220 | NPPES |
| Oregon | MEDICAID | 269836 |
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