Edwardson, Christopher Wray

Edwardson, Christopher Wray is an individual health care provider with primary practice located at 531 Se Clay St , Dallas OR 97338-2865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edwardson, Christopher Wray can be contacted via phone (971) 612-6100.

Contact Information

Primary practice address
531 Se Clay St Dallas OR 97338-2865
Phone: (971) 612-6100
Fax: (971) 612-6101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD13699 Oregon

Profile Details

NPI number 1689667560
LBN Legal business name Edwardson, Christopher Wray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Sep 10th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689667560 NPPES
Oregon MEDICAID 286187

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