Individual
MR. ROBIN JAY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CFA
Contact information
Practice address
82090 BEAR CREEK RD, CRESWELL, OR 97426
(541) 895-5176
Mailing address
82090 BEAR CREEK RD, CRESWELL, OR 97426-9486
(541) 895-5176
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
F01120
OR
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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