BRANDON LEE EDWARDS

SALEM, OR
NPI1700354792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies224Z00000X Occupational Therapy Assistant
Enumeration Date2018-11-07
Last Update Date2024-03-21
Business Address
BRANDON LEE EDWARDS COTA/L, PA-C
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
Mailing Address
BRANDON LEE EDWARDS COTA/L, PA-C
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526