Individual
DEVEN EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 542-4603
Mailing address
5419 NE 53RD AVE, PORTLAND, OR 97218-2505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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