Individual
DR. MARCELIN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
691 MURPHY RD, SUITE 107, MEDFORD, OR 97504-4346
(541) 789-6460
(541) 789-6461
Mailing address
1840 CASCADIA CIR, MEDFORD, OR 97504-3687
(541) 245-1378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26819
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240547
—
OR
Enumeration date
03/28/2006
Last updated
07/02/2013
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