NPI Profile for EMMITT ADAIR in COBURG, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X |
| NPI Number | 1033776190 |
|
| Status | Active | |
| Credentials | QMHP, CADC III, SAP | |
| Entity | Individual | |
| Enumeration date | 05/23/2019 | |
| Last updated | 08/06/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EMMITT ADAIR
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