Petit, Charles Justin

Petit, Charles Justin is an individual health care provider with primary practice located at 1515 Nw 18Th Ave #300, Portland OR 97209-2516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Petit, Charles Justin can be contacted via phone (503) 224-8399.

Contact Information

Primary practice address
1515 Nw 18Th Ave #300 Portland OR 97209-2516
Fax: (503) 224-5661
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 46345 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD29397 Oregon

Profile Details

NPI number 1356332720
LBN Legal business name Petit, Charles Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Oct 2nd, 2015 - about 9 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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