Edwards, Jade Sacha Helen
Edwards, Jade Sacha Helen is an individual health care provider with primary practice located at 1303 Ne Cushing Dr Ste 100 , Bend OR 97701-3887. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Edwards, Jade Sacha Helen can be contacted via phone (541) 706-5777.Contact Information
Primary practice address
1303 Ne Cushing Dr Ste 100
Bend OR 97701-3887
Phone: (541) 706-5777
Fax: (541) 429-6642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD61245992 | Washington |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD196448 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52840 | Tennessee |
Profile Details
| NPI number | 1326481615 |
|---|---|
| LBN Legal business name | Edwards, Jade Sacha Helen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2013 |
| Last updated | May 2nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326481615 | NPPES |
| Tennessee | MEDICAID | Q021708 |
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