Individual
DR. CHARLES GEORGE COLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD198559
OR
2085R0202X
Diagnostic Radiology Physician
MD60854552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063856238
—
WA
Enumeration date
04/18/2013
Last updated
05/05/2026
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