Bellville, Charles George

Bellville, Charles George is an sole proprietor health care provider with primary practice located at 909 Sw Saint Clair Ave , Portland OR 97205-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bellville, Charles George can be contacted via phone (503) 274-2661.

Contact Information

Primary practice address
909 Sw Saint Clair Ave Portland OR 97205-1300
Phone: (503) 274-2661
Fax: (503) 692-4774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD11983 Oregon

Profile Details

NPI number 1598734618
LBN Legal business name Bellville, Charles George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Apr 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598734618 NPPES
Oregon Other OOOOBHQXH MEDICARE ID

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