Individual
MS. RENEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
656 NW MIRADOR PL, CORVALLIS, OR 97330-4698
(541) 624-2040
(503) 200-2258
Mailing address
120 SW 4TH ST, STE 200, CORVALLIS, OR 97333-4724
(541) 624-2040
(503) 200-2258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450130NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269505
—
OR
Enumeration date
08/02/2005
Last updated
03/24/2015
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