Individual
MR. EDWARD ANINGAT QUEDADO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 SE 120TH AVE, PORTLAND, OR 97266-4023
(503) 208-5743
Mailing address
6200 SE 120TH AVE, PORTLAND, OR 97266-4023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A5114
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
095196
NY
1041C0700X
Clinical Social Worker
Primary
L11048
OR
Other
Enumeration date
11/03/2014
Last updated
04/30/2026
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