CHARLES H FAUTIN

CORVALLIS, OR
NPI1316008667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200142034RN)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
-- CHARLES H FAUTIN RN
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
Mailing Address
-- CHARLES H FAUTIN RN
PO BOX 579
CORVALLIS, OR 97339-0579
Phone number: 541-766-6835