Dr. Edward Alexander Dyer, MD
Internal Medicine, Critical Care Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1760601694
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1760601694
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Alexander Dyer
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2007
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | MD28675 | OR | Yes |
| 208M00000X | Hospitalist | LL15488 | OR |
Practice location
1130 Nw 22nd Ave Ste 220Portland, OR 97210-2969
Phone 503-413-8988 · Fax 503-413-5629
Mailing address
1130 Nw 22nd Ave Ste 220Portland, OR 97210-2969
Phone 503-413-8988 · Fax 503-413-5629
Other practice locations
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Portland, OR 97239-3011
Phone 503-494-9000
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