Culbertson, Charles David
Culbertson, Charles David is an individual health care provider with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227-1623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Culbertson, Charles David can be contacted via phone (503) 413-6205.Contact Information
Primary practice address
2801 N Gantenbein Ave
Portland OR 97227-1623
Phone: (503) 413-6205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO24952 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DO24952 | Oregon |
Profile Details
| NPI number | 1467412239 |
|---|---|
| LBN Legal business name | Culbertson, Charles David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Mar 24th, 2011 - about 13 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 | 1467412239 | NPPES |
| Oregon | MEDICAID | 029027 |
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