Individual
WILLIAM ALEXANDER EDGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-3633
Mailing address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
01/29/2024
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