Individual
DR. SCOTT W EDGAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1020 NE 2ND AVE, #320, PORTLAND, OR 97232-2064
(503) 231-0882
(503) 231-9419
Mailing address
2414 NE 32ND AVE, PORTLAND, OR 97212-4933
(503) 235-5796
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D6981
OR
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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