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Contact Information

AUDRA E ADAMS, PA-C
6777 W MAPLE RD
WEST BLOOMFIELD, MI48322-3013
 Phone: 248-325-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AUDRA E ADAMS · (Female)

NPI Number 1649615444
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/07/2013
Last updated 01/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601007027
  • OR License # PA182433
  • WA License # PA61260795
  • OR Medicaid 500734408
Hospital affiliation(s)
  • ROGUE VALLEY MEDICAL CENTER - (Acute Care)
    2825 E BARNETT ROAD
    MEDFORD, OR 97504
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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