Individual ProviderLysanji EdsonNaturopathOther Service ProvidersPractice Address834 NW 19th Ave, Portland, OR 97209-1402(503) 224-4445PECOS EnrollmentBased on the most recent information from CMS, provider Lysanji Edson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1508075094Provider TypeIndividualFull NameEdson, LysanjiTitleDr.CredentialN.D.GenderFemaleSole ProprietorYesEnumeration Date5/21/2007Last Updated1/4/2017Contact InformationPractice LocationPractice Address834 NW 19th Ave, Portland, OR 97209-1402Phone(503) 224-4445Fax(503) 224-4446Mailing LocationMailing Address834 NW 19th Ave, Portland, OR 97209-1402Phone(503) 224-4445Fax(503) 224-4446Provider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicense900Oregon