Individual provider · Type 1 NPI

Patrick Stevens Edwards, E.F.D.A., R.D.A.

Dental Assistant · Portland, OR

NPI number 1205101201 Active

Practice location

8728 N Haven Ave
Portland, OR 97203-3426

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XA30373 (OR)
Dental Assistant 126800000XD1 60053125 (WA)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1205101201

Patrick Stevens Edwards, E.F.D.A., R.D.A.'s National Provider Identifier is 1205101201, issued on Mar 9, 2012. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Portland, OR. The record was last updated on Mar 9, 2012.