Organization
DALLAS FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER W EDWARDSON MD (SOLE MEMBER)
(503) 623-2345
Entity
Organization
Contact information
Practice address
641 SE MILLER AVE, DALLAS, OR 97338-2634
(503) 623-2345
(503) 623-6071
Mailing address
641 SE MILLER AVE, DALLAS, OR 97338-2634
(503) 623-2345
(503) 623-6071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD13699
OR
Other
Enumeration date
08/17/2005
Last updated
10/22/2012
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