Organization
ST. CHARLES HEALTH SYSTEM, INC.
Active
Other names
ST. CHARLES CANCER CENTER - REDMOND
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN M SHEPARD (SR VP FINANCE / CFO)
(541) 706-7707
Entity
Organization
Contact information
Practice address
244 NW KINGWOOD AVE, SUITE 3, REDMOND, OR 97756-1688
(541) 516-3885
(541) 548-8301
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 526-6556
(541) 706-3765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625168
—
OR
Enumeration date
12/24/2010
Last updated
12/24/2010
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