Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edencare 360

Organization Internal Medicine Physician · NPI 1114811981

Edencare 360 is an Internal Medicine Physician in Lebanon, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

31247 McCraven Ln
Lebanon, OR 97355-3555
Phone: (202) 655-6550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1114811981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edith Edwards — Ceo · (202) 655-6550
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address31247 McCraven Ln, Lebanon, OR 97355-3555

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