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Organization

ST. CHARLES HEALTH SYSTEM, INC.

Active
Other names
ST. CHARLES FAMILY CARE - REDMOND
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN M SHEPARD (SR VP FINANCE / CFO)
(541) 706-7707
Entity
Organization

Contact information

Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 526-6556
(541) 706-3765

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500625168
OR
Enumeration date
12/23/2010
Last updated
12/23/2010
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