D'Amato, Charles Roland

D'Amato, Charles Roland is an individual health care provider with primary practice located at 3101 Sw Sam Jackson Park Road , Portland OR 97239-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. D'Amato, Charles Roland can be contacted via phone (503) 221-3424.

Contact Information

Primary practice address
3101 Sw Sam Jackson Park Road Portland OR 97239-3009
Phone: (503) 221-3424
Fax: (503) 221-3490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD24651 Oregon

Profile Details

NPI number 1427168103
LBN Legal business name D'Amato, Charles Roland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 16th, 2012 - about 14 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 1427168103 NPPES
Oregon MEDICAID 227022

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