Colip, Charles L

Colip, Charles L is an individual health care provider with primary practice located at 10000 Se Main St Ste 203, Portland OR 97216-2442. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Colip, Charles L can be contacted via phone (503) 255-3054.

Contact Information

Primary practice address
10000 Se Main St Ste 203 Portland OR 97216-2442
Phone: (503) 255-3054
Fax: (503) 255-7651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11209 Oregon

Profile Details

NPI number 1194729798
LBN Legal business name Colip, Charles L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194729798 NPPES
Oregon MEDICAID 225284

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