Individual
CHARLES PHILLIP ESSEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
531 SE CLAY ST, DALLAS, OR 97338-2865
(971) 612-6100
(971) 612-6101
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28828
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107902
UNITED HEALTHCARE
—
01
—
080193072
RAILROAD MEDICARE
—
01
—
1026Y
BCBSNC
NC
01
—
1263287
UNITED MINE WORKERS
—
01
—
3337544
CIGNA
—
05
—
891026Y
—
NC
Enumeration date
10/26/2006
Last updated
09/10/2021
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