Individual
DR. EDWARD EVERETT CONRAD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 3RD ST, LAKE OSWEGO, OR 97034-3002
(503) 635-5044
(503) 635-3255
Mailing address
PO BOX 365, LAKE OSWEGO, OR 97034-0042
(503) 635-5044
(503) 635-3255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12913
OR
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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