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Contact Information

BRENDON K ADAMS, CP60566337
201 HIGHLAND DRIVE
BUENA, WA98921
 Phone: 509-248-1800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BRENDON K ADAMS · (Male)

NPI # 1285103788
Status Active
Credentials CP60566337
Entity Individual
Enumeration date 11/14/2018
Last updated 11/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CP60566337
  • WA Medicaid 91-0755984
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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