Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD459892 | PA |
Y | 207X00000X | Orthopaedic Surgeon | MD60925841 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD60925841 | WA |
NPI | 1306108436 |
---|---|
Provider Name | Dr. Adam Clay Rothenberg |
First Address | Kirkland, WA 98034-3029 |
Second Address | Kirkland, WA 98034-3029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2012 |
Last Update Date | 30/10/2019 |