Michael Laurin Adams, M.D.

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

MD18309 Issued in OR

Practice address

4855 S.W. Western Ave
Kaiser Permanente - Occupational Health
Beaverton, OR 97005-3499

Phone

(503) 813-2000

NPI assigned

Aug 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902913106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 SW WESTERN AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053460",
            "telephone_number": "503-813-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 S.W. WESTERN AVE",
            "address_2": "KAISER PERMANENTE - OCCUPATIONAL HEALTH",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053499",
            "telephone_number": "503-813-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MICHAEL",
        "middle_name": "LAURIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "OR",
            "license": "MD18309",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "WA",
            "license": "MD00026280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Edge Physical Therapy & Sports Medicine P.C. (Active EDGE Physical Therapy)
• Active Living Chiropractic, P.C.
• Acupuncture & Wellness NW, PC
• Bianca Adams-Gregory
• Chloe Mai Adams, DMD
• Theodore Adams, ASW
• Adapt Training
• Adapt Training
• Tosin Mercy Addeh, APRN, PMHNP-BC
• Natalia Koryo Addo, PA-C

• Occupational Medicine Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Occupational Medicine Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.