PATRICK STEVENS EDWARDS

PORTLAND, OR
NPI1205101201
Other NamePATRICK STEVENS EDWARDS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  A30373)
Additional Taxonomies126800000X Dental Assistant
(Licence: WA  D1 60053125)
Enumeration Date2012-03-09
Last Update Date2012-03-09
Business Address
Mr. PATRICK STEVENS EDWARDS E.F.D.A., R.D.A.
8728 N HAVEN AVE
PORTLAND, OR 97203-3426
Phone number: 503-309-2651
Mailing Address
Mr. PATRICK STEVENS EDWARDS E.F.D.A., R.D.A.
8728 N HAVEN AVE
PORTLAND, OR 97203-3426
Phone number: 503-309-2651