Individual
MR. MICHAEL VERNON EDDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,LICSW
Contact information
Practice address
VA MEDICAL CENTER(V3CNH), SAM JACKSON BLVD, PORTLAND, OR 97207
(503) 220-8262
Mailing address
20520 NE 221ST CIR, BATTLE GROUND, WA 98604-4922
(360) 666-5545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005125
WA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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