Individual
MR. JOHN SAWYER EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61066250
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158072
—
WA
05
—
8101132
—
NC
01
—
PA61066250
WASHINGTON STATE DEPT. OF HEALTH
WA
Enumeration date
03/28/2006
Last updated
01/12/2026
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