NPI 1114097227 · live from the CMS NPI Registry
Michele Nicolette Adamcak, D.O.
Family Medicine in Tigard, OR. National Provider Identifier 1114097227, active.
NPI record
| NPI | 1114097227 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 11900 Sw Greenburg Rd, Tigard, OR 97223 |
| Practice phone | 503-620-5556 |
| Mailing address | 2510 Sw Palatine St, Portland, OR 97219 |
| Enumerated | November 8, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | DO14860 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.