Individual
MRS. JOANNE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 NW RALEIGH ST, 305, PORTLAND, OR 97209-1753
(503) 567-2449
Mailing address
3255 N WILLAMETTE BLVD, PORTLAND, OR 97217-5139
(503) 919-8901
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
01/29/2013
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