Bellville, Charles George
Bellville, Charles George is an sole proprietor health care provider with primary practice located at 909 Sw Saint Clair Ave , Portland OR 97205-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bellville, Charles George can be contacted via phone (503) 274-2661.Contact Information
Primary practice address
909 Sw Saint Clair Ave
Portland OR 97205-1300
Phone: (503) 274-2661
Fax: (503) 692-4774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD11983 | Oregon |
Profile Details
| NPI number | 1598734618 |
|---|---|
| LBN Legal business name | Bellville, Charles George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Apr 20th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598734618 | NPPES |
| Oregon | Other | OOOOBHQXH | MEDICARE ID |
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