Individual
DR. DANIEL JAY EDWARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
501 N GRAHAM ST, SUITE 365, PORTLAND, OR 97227-1654
(503) 219-9992
(503) 219-9993
Mailing address
501 N GRAHAM ST, SUITE 365, PORTLAND, OR 97227-1654
(503) 219-9992
(503) 219-9993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1219
OR
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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