Provider Demographics
NPI:1386840486
Name:ADAIR, DONNA G (LMP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:G
Last Name:ADAIR
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27624 42ND AVE S
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-1153
Mailing Address - Country:US
Mailing Address - Phone:253-856-8850
Mailing Address - Fax:
Practice Address - Street 1:2130 S 314TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5479
Practice Address - Country:US
Practice Address - Phone:206-321-0219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014787174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist