CHARLES RACE

SPRINGFIELD, OR
NPI1982987046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  201350005NP)
Enumeration Date2011-09-26
Last Update Date2013-04-12
Business Address
-- CHARLES RACE FPMHNP
175 W B ST STE D
SPRINGFIELD, OR 97477-4575
Phone number: 541-762-1971
Mailing Address
-- CHARLES RACE FPMHNP
175 W B ST STE D
SPRINGFIELD, OR 97477-4575
Phone number: 541-762-1971
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