1. Home
  2. Directory
  3. Oregon
  4. Lebanon
  5. Internal Medicine
  6. NPI Profile

EDENCARE 360
NPI 1114811981
Internal Medicine in Lebanon, OR

Active since June 05, 2025
31247 MCCRAVEN LN, LEBANON, OR 97355(202) 655-6550 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 9, 2025, Jun 5, 2025 (2 updates tracked since 2025).

About Edencare 360 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDENCARE 360 (NPI 1114811981) is a healthcare organization registered as an internal medicine in Lebanon, Oregon and active in the NPI registry since June 2025. The organization lists Edith Edwards, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114811981
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDENCARE 360
Location Address31247 MCCRAVEN LNLebanon, OR 97355-3555
Mailing Address31247 Mccraven LnLebanon, OR 97355-3555 · (202) 655-6550
Phone(202) 655-6550
Organization SubpartNo
Authorized OfficialEdith EdwardsCeo · (202) 655-6550
Enumeration DateJune 5, 2025
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1114811981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
31247 MCCRAVEN LN, Lebanon, OR 97355
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edencare 360's NPI number?

The NPI number for Edencare 360 is 1114811981. It was assigned to this organization in the NPPES registry on June 5, 2025.

Where is Edencare 360 located?

Edencare 360 is located at 31247 Mccraven Ln, Lebanon, OR 97355. The listed phone number is (202) 655-6550.

What is Edencare 360's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Edencare 360 accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Edencare 360 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edencare 360 was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.