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Individual

EDWARD C JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4962 LIBERTY RD S APT 65, SALEM, OR 97306-2427
(971) 239-6653
Mailing address
9115 SOUTHWEST OLESON RD. STE. 100, PORTLAND, OR 97223-6876
(971) 239-6653

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10213207
OR
106S00000X
Behavior Technician
BACB626543
OR

Other

Enumeration date
12/22/2020
Last updated
01/13/2021
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