MEDICARE: DR. RALPH E ADAMS M.D.

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	2085R0202X	Diagnostic Radiology Physician	3476	AK

General Provider Information

NPI Number	:	1730357617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH E ADAMS M.D.

Provider Business Mailing Address
First Line	:	3506 CHEROKEE DR S
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-9712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3506 CHEROKEE DR S
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-9712
Country	:	US
Telephone Number	:	503-365-0554
Fax Number	:

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

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	02/13/2008

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