Individual
MR. CHARLES INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
1939 E BURNSIDE ST, PORTLAND, OR 97214-1535
(503) 233-6141
(503) 233-2889
Mailing address
1939 E BURNSIDE ST, PORTLAND, OR 97214-1535
(503) 233-6141
(503) 233-2889
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
HA00002263
WA
237700000X
Hearing Instrument Specialist
Primary
HAS-P-432497
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212936
—
OR
01
—
2432417000
FEDERAL WORKERS' COMP
—
05
—
9178104
—
WA
Enumeration date
03/20/2007
Last updated
07/08/2007
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