Patrick Stevens Edwards, E.F.D.A., R.D.A.
NPI 1205101201ActiveIndividual· Dental Assistant· Portland, OR
Dental Assistant (E.F.D.A., R.D.A.) in Portland, Oregon, licensed in OR and WA, with an NPI issued in March 2012.
Overview
| NPI | 1205101201 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | E.F.D.A., R.D.A. |
| Sole proprietor | Yes |
| NPI issued | Mar 9, 2012 |
| Last updated in NPPES | Mar 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Assistant Primary | 126800000X | A30373 | OR |
| Dental Assistant | 126800000X | D1 60053125 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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