Individual
KATHLEEN MAE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5351
(503) 585-4908
Mailing address
1821 JORY HILL RD S, SALEM, OR 97306-9113
(503) 585-5045
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
079042329RN
OR
Other
Enumeration date
12/20/2006
Last updated
06/09/2010
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