Provider Demographics
NPI:1003031485
Name:ADAMS, ROBERT CRAIG (R PH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:CRAIG
Last Name:ADAMS
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18815 SE 18TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9775
Mailing Address - Country:US
Mailing Address - Phone:360-892-2394
Mailing Address - Fax:
Practice Address - Street 1:1220 SW 3RD AVE STE 476
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2812
Practice Address - Country:US
Practice Address - Phone:503-326-4998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE83701835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy