Individual
DR. EDMUND MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2408 SE 16TH AVE, PORTLAND, OR 97214-5334
(503) 233-3576
(503) 233-2589
Mailing address
2408 SE 16TH AVE, PORTLAND, OR 97214-5334
(503) 233-3576
(503) 233-2589
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17178
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083571
—
OR
Enumeration date
06/22/2006
Last updated
07/01/2010
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