Individual
CHARLES DAVID CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-6205
Mailing address
922 NW 11TH AVE, #1102, PORTLAND, OR 97209-2776
(503) 262-8393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO24952
OR
208M00000X
Hospitalist Physician
Primary
DO24952
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029027
—
OR
Enumeration date
03/24/2006
Last updated
03/24/2011
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