Individual
DR. CHARLES ELLIOTT LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 NW STEWART PKWY, DEPT OF EMERGENCY MEDICINE, MERCY MEDICAL CENTER, ROSEBURG, OR 97471
(541) 677-4333
Mailing address
2700 NW STEWART PKWY, DEPT OF EMERGENCY MEDICINE, MERCY MEDICAL CENTER, ROSEBURG, OR 97471
(541) 677-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
167526
OR
Other
Enumeration date
04/25/2011
Last updated
07/02/2015
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