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1720186299
DONALD HOWARD EDWALL
PORTLAND, OR
NPI
1720186299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR pa00113)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- DONALD HOWARD EDWALL pa
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
-- DONALD HOWARD EDWALL pa
22572 SE BOHNA PARK RD
DAMASCUS, OR 97009-9312
Phone number: 503-220-8262
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