Individual provider · Type 1 NPI

Charles Freemen Edwards

Peer Specialist · Portland, OR

NPI number 1336690189 Active

Practice location

537 SE Alder St
Portland, OR 97214-2231

Call (503) 595-3477 Map

Fax (503) 595-3478

Mailing address

3910 SE Stark St
Portland, OR 97214-3241

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X16-CRM-179 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1336690189

Charles Freemen Edwards's National Provider Identifier is 1336690189, issued on Oct 17, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on May 4, 2017.