Individual provider · Type 1 NPI
Clifton A. J. Edwards, MHA, REEGT, PMP, CPHQ
EEG Specialist/Technologist · Portland, OR
NPI number
1760856231
Active
Practice location
3347 NE 164th Loop
Portland, OR 97230-5063
Mailing address
3439 NE Sandy Blvd # 367
Portland, OR 97232-1959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| EEG Specialist/Technologist Primary | 246ZE0500X | #3283: R. EEG T. |
| Other Specialist/Technologist | 246Z00000X | #847: R. EP T. |
| Other Specialist/Technologist | 246Z00000X | #3726: RPSGT |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | None listed |
EEG Specialist/Technologist: Definition to come...
About NPI 1760856231
Clifton A. J. Edwards, MHA, REEGT, PMP, CPHQ's National Provider Identifier is 1760856231, issued on Nov 21, 2015. The primary taxonomy on file is EEG Specialist/Technologist (246ZE0500X), and the practice location is in Portland, OR. The record was last updated on Feb 28, 2017.