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Individual

GEORGE M EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 MOLALLA AVE STE 100, OREGON CITY, OR 97045-3753
(503) 656-5273
(503) 650-4828
Mailing address
1001 MOLALLA AVE STE 100, OREGON CITY, OR 97045-3753

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09511
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110154335
RR MEDICARE
05
238675
OR
Enumeration date
05/12/2006
Last updated
05/03/2013
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