Individual
DONALD HOWARD EDWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-5201
Mailing address
22572 SE BOHNA PARK RD, DAMASCUS, OR 97009-9312
(503) 220-8262
(503) 721-5201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00113
OR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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