Edencare 360

NPI #1114811981 in Lebanon, Oregon

Provider Information

NPI Number: 1114811981
Entity Type: Organization
Organization Name: Edencare 360
Primary Specialty: Internal Medicine
Enumeration Date: Jun 5, 2025
Last Updated: Jun 9, 2025

Practice Location

Address: 31247 MCCRAVEN LN
City: Lebanon
State: Oregon
ZIP Code: 97355-3555
Phone: (202) 655-6550

Authorized Official

Name: EDITH EDWARDS, MD
Title: CEO
Phone: (202) 655-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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