DONALD HOWARD EDWALL

PORTLAND, OR
NPI1720186299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  pa00113)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- DONALD HOWARD EDWALL pa
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
-- DONALD HOWARD EDWALL pa
22572 SE BOHNA PARK RD
DAMASCUS, OR 97009-9312
Phone number: 503-220-8262