Dallas Family Medicine LLC

NPI #1942292891 in Dallas, Oregon

Provider Information

NPI Number: 1942292891
Entity Type: Organization
Organization Name: Dallas Family Medicine LLC
Primary Specialty: Specialist
Enumeration Date: Aug 17, 2005
Last Updated: Oct 22, 2012

Practice Location

Address: 641 SE MILLER AVE
City: Dallas
State: Oregon
ZIP Code: 97338-2634
Phone: (503) 623-2345

Authorized Official

Name: DR. CHRISTOPHER W EDWARDSON, MD
Title: SOLE MEMBER
Phone: (503) 623-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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