MEDICARE: DR. MICHAEL PAUL ADLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	C54922	CA
2	207V00000X	Obstetrics & Gynecology Physician	MD10764	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033100532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PAUL ADLER MD

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 SW ABBEY ST STE B
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-4820
Country	:	US
Telephone Number	:	541-574-7235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	08/16/2023

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Directions to “ DR. MICHAEL PAUL ADLER MD” Practice Location

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