Individual
DR. CHARLES M KILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9427 SW BARNES RD, SUITE 590, PORTLAND, OR 97225-6652
(503) 292-9560
(503) 292-9510
Mailing address
9427 SW BARNES RD, SUITE 590, PORTLAND, OR 97225-6652
(503) 292-9560
(503) 292-9510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22608
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287599
OMAP
OR
Enumeration date
02/08/2006
Last updated
09/21/2007
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