Individual
DR. ISAAC SCOTT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7107 SW MACADAM AVE, PORTLAND, OR 97219-3075
(503) 293-5454
Mailing address
7107 SW MACADAM AVE, PORTLAND, OR 97219-3075
(503) 293-5454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9610
OR
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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