Gardner, Charlotte P

Gardner, Charlotte P is an individual health care provider with primary practice located at 5234 Sw Philomath Boulevard , Corvallis OR 97333-1042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gardner, Charlotte P can be contacted via phone (541) 768-4970.

Contact Information

Primary practice address
5234 Sw Philomath Boulevard Corvallis OR 97333-1042
Phone: (541) 768-4970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA201 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 159864 Oregon

Profile Details

NPI number 1538241120
LBN Legal business name Gardner, Charlotte P
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Nov 9th, 2020 - about 5 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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