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Individual

CHARLES BRADLEY VOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9205 SW BARNES RD, PSVMC WP 2002, PORTLAND, OR 97225-6603
(503) 216-1890
Mailing address
3077 SW NOTTINGHAM DR, PORTLAND, OR 97201-1610
(503) 228-5577

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G64639
CA
207R00000X
Internal Medicine Physician
Primary
MD18462
OR
207R00000X
Internal Medicine Physician
MD5131
HI

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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