MS. LETITIA CECELIA ADAMS (NPI# 1386294155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386294155 |
Entity Type | Individual |
Full Name | MS. LETITIA CECELIA ADAMS |
Practice Address |
1750 Mcgilchrist St Se Ste 130 Salem OR 97302-1691 |
Mailing Address |
3023 Bargate St Orlando FL 32824-4389 |
Practice Telephone | 5037211499 |
Mailing Telephone | 4077790460 |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers |
Street Address |
1750 MCGILCHRIST ST SE STE 130 |
City | SALEM |
State | OR |
Zip Code | 97302-1691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164405783 | John Robert Walters | Family Medicine | 1750 Mcgilchrist St Se Ste 130, Salem, OR 97302-1691 | 2005-11-29 |
1033762240 | Kristie Lyn Brock | Physical Medicine & Rehabilitation | 1750 Mcgilchrist St Se Ste 130, Salem, OR 97302-1691 | 2019-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
Find all providers in zip 97302 |
Taxonomy Code | 156FX1100X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ophthalmic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811163348 | Howard G Daniel | Technician/Technologist | 61740 Gensman Rd, Saint Helens, OR 97051-9030 | 2008-05-05 |
1851578058 | Debbra Ray Summers | Technician/Technologist | 134 Nw 21st Ave, Portland, OR 97209 | 2008-01-30 |
1225524424 | Cristobal Andres Yacelga Castillo | Technician/Technologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-07-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.