Individual
DR. CHARLES R. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
822 SW REGENCY TER, PORTLAND, OR 97225-6066
(503) 243-5066
Mailing address
7327 SW BARNES RD # 324, PORTLAND, OR 97225-6119
(503) 243-5066
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
535
OR
103TC0700X
Clinical Psychologist
535
OR
103TF0000X
Family Psychologist
535
OR
Other
Enumeration date
03/11/2007
Last updated
01/09/2024
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