Individual
DR. CHARLES STEPHEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 297-6334
(503) 297-2360
Mailing address
9340 SW BARNES RD, SUITE 202, PORTLAND, OR 97225-6623
(503) 297-6334
(503) 297-2360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD11904
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002837
—
OR
01
—
010050904
UNITED HEALTHCARE
OK
Enumeration date
12/14/2006
Last updated
02/04/2022
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