Individual
MARNIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 SW 105TH AVE STE 200, BEAVERTON, OR 97008-8824
(541) 801-6208
Mailing address
4215 SW 177TH AVE, ALOHA, OR 97078-1704
(503) 270-1748
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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