Individual
CHARLES EDWIN IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18650 NW CORNELL RD, SUITE 212, HILLSBORO, OR 97124-9207
(503) 292-1103
(503) 292-1433
Mailing address
9155 SW BARNES RD, SUITE 830, PORTLAND, OR 97225-6625
(503) 292-1103
(503) 292-1433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD09659
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234906
—
OR
Enumeration date
07/07/2006
Last updated
08/20/2014
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