Organization
EDENCARE 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH EDWARDS MD (CEO)
(202) 655-6550
Entity
Organization
Contact information
Practice address
31247 MCCRAVEN LN, LEBANON, OR 97355-3555
(202) 655-6550
Mailing address
31247 MCCRAVEN LN, LEBANON, OR 97355-3555
(202) 655-6550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/09/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up