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NPI Code Detail

MEDICARE: MR. EDWARD WALTER ARNDT III BSHS, QMHA II

MEDICARE: MR. EDWARD WALTER ARNDT III BSHS, QMHA II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1093381865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD WALTER ARNDT III BSHS, QMHA II
Provider Business Mailing Address
First Line : 1961 SW 33RD ST
Second Line :
City : GRESHAM
State : OR
Zip : 97080-8565
Country : US
Telephone Number : 503-929-3281
Fax Number :
Provider Business Practice Location Address
First Line : 121 E HISTORIC COLUMBIA RIVER HWY
Second Line :
City : TROUTDALE
State : OR
Zip : 97060-2006
Country : US
Telephone Number : 503-890-0440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 01/22/2026

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