IndividualActive
Patrick Edwards, E.F.D.A., R.D.A.
NPI 1205101201 · Dental Assistant · Portland, OR
Provider details
- NPI number
- 1205101201
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- E.F.D.A., R.D.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A30373 (OR)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8728 N Haven Ave
Portland, OR 97203-3426
Phone: (503) 309-2651
Street-level locationGet directions
Mailing address
8728 N Haven Ave
Portland, OR 97203-3426
Registry dates
- Enumerated
- 2012-03-09
- Last updated
- 2012-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.