Edgington, Bryan David

Edgington, Bryan David is an individual health care provider with primary practice located at 1331 Nw Lovejoy St Ste 750 , Portland OR 97209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Edgington, Bryan David can be contacted via phone (503) 535-2883.

Contact Information

Primary practice address
1331 Nw Lovejoy St Ste 750 Portland OR 97209
Phone: (503) 535-2883
Fax: (503) 535-2887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M13975 Idaho
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD60801522 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD159840 Oregon

Profile Details

NPI number 1699748020
LBN Legal business name Edgington, Bryan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699748020 NPPES
Oregon MEDICAID 500649006
Oregon Other 20013225
Oregon Other G8975737
Oregon MEDICAID 2021463
Oregon Other G8975734
Oregon Other G8975735
Oregon Other R199916
Oregon MEDICAID 20013225
Oregon Other G8975733
Oregon Other G8975736

Popular Providers