Individual
ASIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
Mailing address
8618 N BURRAGE AVE, PORTLAND, OR 97217-7042
(704) 942-8860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10229688
OR
Other
Enumeration date
02/27/2018
Last updated
02/22/2023
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