Parker, Charles S

Parker, Charles S is an individual health care provider with primary practice located at 3680 Nw Samaritan Dr , Corvallis OR 97330-3737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Parker, Charles S can be contacted via phone (541) 754-1282.

Contact Information

Primary practice address
3680 Nw Samaritan Dr Corvallis OR 97330-3737
Phone: (541) 754-1282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD13760 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD13760 Oregon

Profile Details

NPI number 1710949987
LBN Legal business name Parker, Charles S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Feb 6th, 2012 - about 13 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 1710949987 NPPES
Other 059297000 BC/BS OF OREGON
Other C93481 BC/BS OF OREGON
Other A011 BC/BS OF OREGON
MEDICAID 131235 BC/BS OF OREGON
MEDICAID 8351710 BC/BS OF OREGON
Other C93481 BC/BS OF OREGON
Other XPY195707 BC/BS OF OREGON
Other 930079538 BC/BS OF OREGON

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