Char Glenn Md Llc

LBN: Char Glenn Md Llc
Char Glenn Md Llc is an health care organization with primary practice located at 2525 Nw Lovejoy St Ste 405 , Portland OR 97210-2865. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Char Glenn Md Llc can be contacted via phone (503) 274-9818, or through Phillips, Christopher via phone (360) 667-3047.

Contact Information

Primary practice address
2525 Nw Lovejoy St Ste 405 Portland OR 97210-2865
Phone: (503) 274-9818
Fax: (503) 248-0049
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Christopher CPC
Phone: (360) 667-3047

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1205893609
LBN Legal business name Char Glenn Md Llc
DBA Doing business as
Authorized official Phillips, Christopher CPC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Nov 9th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205893609 NPPES
Oregon Other 0599990000 BLUE CROSS

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