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Individual

JEFF T. EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.D.

Contact information

Practice address
12616 SE STARK ST, NAMASTE NATURAL HEALING CENTER INC., PORTLAND, OR 97233
(503) 408-0790
(503) 408-0791
Mailing address
12616 SE STARK ST BLDG. L PLAZA 125, NAMASTE NATURAL HEALING CENTER INC., PORTLAND, OR 97233
(503) 408-0790
(503) 408-0791

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
#1733
OR
175F00000X
Naturopath
NT60168200
WA

Other

Enumeration date
04/11/2011
Last updated
04/11/2011
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