Provider Demographics
NPI:1811453889
Name:MORETT, ADAM (DC MS)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:MORETT
Suffix:
Gender:M
Credentials:DC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 S CORBETT AVE UPPR LVL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4287
Mailing Address - Country:US
Mailing Address - Phone:503-225-9033
Mailing Address - Fax:503-225-9039
Practice Address - Street 1:4425 S CORBETT AVE UPPR LVL
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4287
Practice Address - Country:US
Practice Address - Phone:503-225-9033
Practice Address - Fax:503-225-9030
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-14
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor