NPI 1043545122 · live from the CMS NPI Registry
Samuel Edward Adelman, O.D.
Optometrist in Happy Valley, OR. National Provider Identifier 1043545122, active.
NPI record
| NPI | 1043545122 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 11800 Se 82nd Ave, Happy Valley, OR 97086 |
| Practice phone | 503-660-3093 |
| Mailing address | Po Box 86221, Portland, OR 97286 |
| Enumerated | October 7, 2009 |
| Last updated | January 31, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3462ATI (OR) |
| Optometrist | 152W00000X | OD 60290877 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.