Individual
CHARLES PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAREGIVER
Contact information
Practice address
120 GLASS LN, WHITE CITY, OR 97503-9529
(541) 324-9835
Mailing address
120 GLASS LN, WHITE CITY, OR 97503-9529
(541) 324-9835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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