Individual
EDWARD RICHARD DEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 JACKSON ST SE, ALBANY, OR 97322-3244
(541) 967-8545
Mailing address
1100 JACKSON ST SE, ALBANY, OR 97322-3244
(541) 967-8545
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4612
OR
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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