Individual
CHARLES THOMAS WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1048 NW 12TH DR, PENDLETON, OR 97801-1268
(541) 276-4152
Mailing address
1048 NW 12TH DR, PENDLETON, OR 97801-1268
(541) 276-4152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD11123
OR
Other
Enumeration date
08/30/2005
Last updated
04/30/2009
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