Individual
SHARON RENEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE L466, PORTLAND, OR 97239-3011
(503) 418-4500
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE L466, PORTLAND, OR 97239-3011
(503) 494-3107
(503) 494-8679
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD21788
OR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD21788
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133968
—
OR
Enumeration date
08/02/2006
Last updated
10/04/2013
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