Individual
DR. CHARLES KELLOGG ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 COUNTRY CLUB PKWY, EUGENE, OR 97401-6036
(541) 683-5001
(541) 683-1422
Mailing address
520 COUNTRY CLUB PKWY, EUGENE, OR 97401-6036
(541) 683-5001
(541) 683-1422
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125050891
IL
207VX0201X
Gynecologic Oncology Physician
Primary
MD161964
OR
Other
Enumeration date
07/17/2008
Last updated
08/05/2021
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