NPI 1679197370 · live from the CMS NPI Registry
Kristopher Kurtis Adams
Psychologist, Clinical in Vancouver, WA. National Provider Identifier 1679197370, active.
NPI record
| NPI | 1679197370 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 201 Ne Park Plaza Dr Ste 145, Vancouver, WA 98684 |
| Practice phone | 360-729-8383 |
| Mailing address | 2600 Center St Ne, Salem, OR 97301 |
| Enumerated | May 29, 2020 |
| Last updated | May 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | TE61174944 (WA) |
| Psychologist, Clinical | 103TC0700X | 3247 (OR) |
| Psychologist, Clinical primary | 103TC0700X | TE61174944 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.