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CHRISTOPHER WRAY EDWARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
531 SE CLAY ST, DALLAS, OR 97338-2865
(971) 612-6100
(971) 612-6101
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13699
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286187
OR
Enumeration date
08/26/2005
Last updated
09/10/2021
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