Individual
CHARLES FREEMEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 SE ALDER ST, PORTLAND, OR 97214-2231
(503) 595-3477
(503) 595-3478
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 235-8655
(503) 802-0598
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
16-CRM-179
OR
Other
Enumeration date
10/17/2016
Last updated
05/04/2017
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