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Edgar Andrada

NPI 1548647662 · on the registry since 2015 · sole proprietor

Practice

Address
11610 Nw Stone Mountain Ln Apt 208
Portland, OR 97229
Phone
(971) 202-6833
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon