Ross, Charles S.
Ross, Charles S. is an individual health care provider with primary practice located at 3910 Mirror Pond Way , Eugene OR 97408-5954. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ross, Charles S. can be contacted via phone (541) 680-0361.Contact Information
Primary practice address
3910 Mirror Pond Way
Eugene OR 97408-5954
Phone: (541) 680-0361
Fax: (541) 200-6530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DO10012 | Oregon |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | DO10012 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO10012 | Oregon |
Profile Details
| NPI number | 1740275932 |
|---|---|
| LBN Legal business name | Ross, Charles S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | May 21st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740275932 | NPPES |
| Oregon | MEDICAID | 165878 | |
| Oregon | MEDICAID | 1740275932 | |
| Oregon | Other | 000188024 | |
| Oregon | MEDICAID | 168395 | |
| Oregon | Other | R103163 |
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