Organization
OREGON RETINA, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT EDWARDS MD, PHD (PHYSICIAN/OWNER)
(541) 762-2763
Entity
Organization
Contact information
Practice address
855 W CENTRAL BLVD, COQUILLE, OR 97423-1095
(541) 762-2763
Mailing address
1550 OAK ST, SUITE 4, EUGENE, OR 97401-7701
(541) 762-2763
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD20042
OR
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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