Individual
EMILY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1130 NW 22ND AVE STE 110, PORTLAND, OR 97210-2934
(503) 413-8654
(503) 413-8655
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD192961
OR
207VG0400X
Gynecology Physician
MD192961
OR
Other
Enumeration date
03/31/2015
Last updated
10/18/2019
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