Provider Demographics
NPI:1811920010
Name:ADAO, CIRILO P (PAC)
Entity type:Individual
Prefix:MR
First Name:CIRILO
Middle Name:P
Last Name:ADAO
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7424BRIDGEPORT WAY WEST
Mailing Address - Street 2:SUITE301
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499
Mailing Address - Country:US
Mailing Address - Phone:253-474-5141
Mailing Address - Fax:253-474-5507
Practice Address - Street 1:7424 BRIDGEPORT WAY W
Practice Address - Street 2:SUITE 301
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-8120
Practice Address - Country:US
Practice Address - Phone:253-474-5141
Practice Address - Fax:253-474-5507
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA0001585207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1811920010Medicaid
G8807727Medicare ID - Type Unspecified