Brandon Lee Edwards, PA-C
Physician Assistant, Medical in Klamath Falls, OR. Individual provider (NPI-1).
NPI number1700354792
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1700354792
- Entity type
- Individual (NPI-1)
- Name
- Brandon Lee Edwards
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2018
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | OR | Yes |
| 224Z00000X | Occupational Therapy Assistant | – | – |
Practice location
2074 S 6th StKlamath Falls, OR 97601-3372
Phone 541-851-8110
Mailing address
1233 Edgewater St NwSalem, OR 97304-4049
Phone 503-378-7526
Other practice locations
1233 Edgewater St Nw
Salem, OR 97304-4049
Salem, OR 97304-4049
Phone 503-378-7526 · Fax 503-480-1611
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All 18 Medical Physician Assistant providers in Klamath Falls · All 2,330 providers in Klamath Falls
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