Individual
CHARLES ANTHONY ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
87983 TERRITORIAL RD, VENETA, OR 97487
(541) 935-2200
(541) 935-6241
Mailing address
PO BOX 145, VENETA, OR 97487-0145
(541) 935-2200
(541) 935-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00257
OR
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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