Culbertson, Charles David

Culbertson, Charles David is an individual health care provider with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227-1623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Culbertson, Charles David can be contacted via phone (503) 413-6205.

Contact Information

Primary practice address
2801 N Gantenbein Ave Portland OR 97227-1623
Phone: (503) 413-6205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO24952 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DO24952 Oregon

Profile Details

NPI number 1467412239
LBN Legal business name Culbertson, Charles David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 24th, 2011 - about 15 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 1467412239 NPPES
Oregon MEDICAID 029027

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