Individual
DANIEL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4655 SW GRIFFITH DR STE 180, BEAVERTON, OR 97005-8732
(503) 746-5214
Mailing address
12430 SW ASH AVE APT 25, TIGARD, OR 97223-6237
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22660
OR
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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