Individual
CHARLES LEWIS FEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4350 NW CANARY PL, CORVALLIS, OR 97330
(818) 268-5453
Mailing address
PO BOX 2672, CORVALLIS, OR 97339-3007
(818) 268-5453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34393
WA
207R00000X
Internal Medicine Physician
G78781
CA
207R00000X
Internal Medicine Physician
MD-9554
HI
207R00000X
Internal Medicine Physician
MD2019-0627
NM
207R00000X
Internal Medicine Physician
Primary
MD20979
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085659
—
OR
05
—
8204380
—
WA
Enumeration date
01/05/2007
Last updated
03/25/2020
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