Edwards, Kevin Ray
Edwards, Kevin Ray is an individual health care provider with primary practice located at 833 Sw 11Th Ave Suite 910, Portland OR 97205-2125. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Edwards, Kevin Ray can be contacted via phone (503) 222-5580.Contact Information
Primary practice address
833 Sw 11Th Ave Suite 910
Portland OR 97205-2125
Phone: (503) 222-5580
Fax: (503) 224-4079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 07877 | Oregon |
Profile Details
| NPI number | 1821097122 |
|---|---|
| LBN Legal business name | Edwards, Kevin Ray |
| Credentials | DDS LLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821097122 | NPPES |
| Other | 1326008 | UNITED CONCORDIA |
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