Petrunin, Charles G

Petrunin, Charles G is an individual health care provider with primary practice located at 875 Oak St Se Suite 4030, Salem OR 97301-3975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Petrunin, Charles G can be contacted via phone (503) 561-6444.

Contact Information

Primary practice address
875 Oak St Se Suite 4030 Salem OR 97301-3975
Phone: (503) 561-6444
Fax: (503) 561-6440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD21956 Oregon

Profile Details

NPI number 1881788099
LBN Legal business name Petrunin, Charles G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1881788099 NPPES
Oregon Other MD21956 OREGON LICENSE
Oregon MEDICAID 229284 OREGON LICENSE

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