Provider Demographics
NPI:1013386275
Name:ADAMS, MEGAN LUCILE (DC, MS, CCSP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:LUCILE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DC, MS, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7835 SE JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-4349
Mailing Address - Country:US
Mailing Address - Phone:503-781-5182
Mailing Address - Fax:
Practice Address - Street 1:12 PORTWALK PL
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4086
Practice Address - Country:US
Practice Address - Phone:603-431-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5629111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician