Individual
CHARLES PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 CLAIRMONT DR, KLAMATH FALLS, OR 97601-7104
(541) 274-2345
(541) 274-6247
Mailing address
2865 DAGGETT AVE FL 4, KLAMATH FALLS, OR 97601-1106
(541) 274-2345
(541) 274-6247
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
249748
MA
208600000X
Surgery Physician
35.126455
OH
208600000X
Surgery Physician
Primary
MD227125
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151480
—
OH
Enumeration date
05/29/2007
Last updated
10/30/2025
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