Linehan, Charles Kenneth

Linehan, Charles Kenneth is an individual health care provider with primary practice located at 92659 Highway 202 , Astoria OR 97103-8522. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Linehan, Charles Kenneth can be contacted via phone (503) 325-3902.

Contact Information

Primary practice address
92659 Highway 202 Astoria OR 97103-8522
Phone: (503) 325-3902
Fax: (503) 325-3902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD 05254 Oregon

Profile Details

NPI number 1356395412
LBN Legal business name Linehan, Charles Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 9th, 2007 - about 18 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 1356395412 NPPES
Oregon MEDICAID 239848

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