Individual
CHARLES KENNETH LINEHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
92659 HIGHWAY 202, ASTORIA, OR 97103-8522
(503) 325-3902
(503) 325-3902
Mailing address
92659 HIGHWAY 202, ASTORIA, OR 97103-8522
(503) 325-3902
(503) 325-3902
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD 05254
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239848
—
OR
Enumeration date
05/20/2006
Last updated
07/09/2007
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