Kristopher Kurtis Adams
Psychologist, Clinical in Vancouver, WA. Individual provider (NPI-1).
NPI number1679197370
StatusActive
Last updated in NPPESMay 19, 2021
Details
- NPI
- 1679197370
- Entity type
- Individual (NPI-1)
- Name
- Kristopher Kurtis Adams
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2020
- Certification date
- May 19, 2021
- Last updated
- May 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | TE61174944 | WA | Yes |
| 103T00000X | Psychologist | TE61174944 | WA | |
| 103TC0700X | Psychologist, Clinical | 3247 | OR |
Practice location
201 Ne Park Plaza Dr Ste 145Vancouver, WA 98684-5873
Phone 360-729-8383 · Fax 360-729-3534
Mailing address
2600 Center St NeSalem, OR 97301-2682
Phone 503-945-2800
Other practice locations
2600 Center St Ne
Salem, OR 97301-2682
Salem, OR 97301-2682
Phone 503-945-2800
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