Irish, Charles Edwin

Irish, Charles Edwin is an individual health care provider with primary practice located at 18650 Nw Cornell Rd Suite 212, Hillsboro OR 97124-9207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Irish, Charles Edwin can be contacted via phone (503) 292-1103.

Contact Information

Primary practice address
18650 Nw Cornell Rd Suite 212 Hillsboro OR 97124-9207
Phone: (503) 292-1103
Fax: (503) 292-1433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD09659 Oregon

Profile Details

NPI number 1285667170
LBN Legal business name Irish, Charles Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 20th, 2014 - about 11 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 1285667170 NPPES
Oregon MEDICAID 234906

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