Daniel Edwards

NPI #1073078614 in Beaverton, Oregon

Provider Information

NPI Number: 1073078614
Entity Type: Individual
Name: Daniel Edwards
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 7, 2019
Last Updated: Feb 7, 2019

Practice Location

Address: 4655 SW GRIFFITH DR STE 180
City: Beaverton
State: Oregon
ZIP Code: 97005-8732
Phone: (503) 746-5214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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