Individual
DR. CHARLES HERBERT DOOLITTLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6464 SW BORLAND RD, SUITE C-5, TUALATIN, OR 97062-8876
(503) 692-3636
(503) 692-5019
Mailing address
543 SERENITY LN, GRANTS PASS, OR 97526-9795
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD20875
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129998
—
OR
Enumeration date
04/24/2007
Last updated
07/13/2007
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