Provider Information for 1922332535
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mr. ROBERT MCADAM LCSW
Sex: Male
NPI: 1922332535
Last Updated: 2024-09-24
Certification Date: 2024-09-24
Certification Date: 2024-09-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922332535 | ||||||||
| Enumeration Date | 2009-09-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 977 ARCADIA DR ROSEBURG, OR 97471-7720 United States Phone: 203-725-8590 | Fax: | ||||||||
| Primary Practice Address | 977 ARCADIA DR ROSEBURG, OR 97471-7720 United States Phone: 541-671-3937 | Fax: | ||||||||
| Secondary Practice Address(es) | 1245 EDGEWATER ST. NW | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|