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Individual

EDITH MUTHEU EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
325 PARK ST, LEBANON, OR 97355-4229
(541) 451-7200
Mailing address
325 PARK ST, LEBANON, OR 97355-4229
(541) 451-7200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D80424
MD
207R00000X
Internal Medicine Physician
Primary
MD219562
OR
208M00000X
Hospitalist Physician
D80424
MD

Other

Enumeration date
03/26/2012
Last updated
01/24/2025
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