Individual
DR. CHARLES HERMAN KUTTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 SW VERMONT ST, PORTLAND, OR 97219-1940
(503) 452-0915
(503) 768-9232
Mailing address
2400 SW VERMONT ST, PORTLAND, OR 97219-1940
(503) 452-0915
(503) 768-9232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9934
OR
Other
Enumeration date
07/05/2005
Last updated
08/26/2008
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