Provider Demographics
NPI:1528775129
Name:ADAMS, MARLEE ELIZABETH (LM, CPM, MSM)
Entity type:Individual
Prefix:
First Name:MARLEE
Middle Name:ELIZABETH
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LM, CPM, MSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2490
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-2490
Mailing Address - Country:US
Mailing Address - Phone:360-901-9349
Mailing Address - Fax:
Practice Address - Street 1:4677 VALLEY EAST BLVD # 2
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-4630
Practice Address - Country:US
Practice Address - Phone:360-901-9349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW61361341176B00000X
CAMW706176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife