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1205893609
CHAR GLENN MD LLC
PORTLAND, OR
NPI
1205893609
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Entity Type
Organization
Authorized Contact
CHRISTOPHER PHILLIPS
Billing Manager
360-667-3047
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-04-28
Last Update Date
2016-11-09
Business Address
CHAR GLENN MD LLC
2525 NW LOVEJOY ST STE 405
PORTLAND, OR 97210-2865
Phone number: 503-274-9818
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Mailing Address
CHAR GLENN MD LLC
PO BOX 821350
VANCOUVER, WA 98682-0030
Phone number: 360-687-5221
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