| NPI | 1699059220 |
|---|---|
| Other Name | EDWARDS SCHOOL |
| Entity Type | Organization |
| Authorized Contact | SUZY VENZKE Billing Manager 503-205-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OR 0006) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2014-03-24 |