Healthcare Provider Details

I. General information

NPI: 1477492932
Provider Name (Legal Business Name): ELAINA FAITH-XIAOQI ADAMS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5952 BLACKSTONE WAY
NINE MILE FALLS WA
99026-4900
US

IV. Provider business mailing address

509 E MAIN AVE
CHEWELAH WA
99109-8964
US

V. Phone/Fax

Practice location:
  • Phone: 509-935-6004
  • Fax: 855-211-4215
Mailing address:
  • Phone: 509-935-6001
  • Fax: 509-935-4196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.PA.70099292
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: