# DR. CHARLES KRISTIAN ENESTVEDT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962612283
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | MD151458 | OR | Yes |
| 2086X0206X | Surgical Oncology Physician | MD151458 | OR | — |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 07/21/2010
