Individual
EDWARD CUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPCT
Contact information
Practice address
724 S CENTRAL AVE STE 206, MEDFORD, OR 97501-7833
(541) 702-1923
(541) 727-6640
Mailing address
PO BOX 5372, CENTRAL POINT, OR 97502-0054
(541) 601-1319
(541) 727-6640
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
38D2120916
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38D2120916
CLIA WAIVER CERT
OR
Enumeration date
10/27/2020
Last updated
10/27/2020
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