Provider Demographics
NPI:1184324469
Name:ADAMS, RONALD SCOTT
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:SCOTT
Last Name:ADAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NW 8TH AVE APT 904
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-3790
Mailing Address - Country:US
Mailing Address - Phone:503-784-4123
Mailing Address - Fax:
Practice Address - Street 1:8 NW 8TH AVE APT 904
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-3790
Practice Address - Country:US
Practice Address - Phone:503-784-4123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty