Individual
JAMES MARK EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7810
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU VASCULAR SURGERY, OP-11, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD13102
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212274
—
OR
Enumeration date
09/20/2006
Last updated
07/21/2007
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