DR. Charles L Colip, MD

NPI #1194729798 in Portland, Oregon

Provider Information

NPI Number: 1194729798
Entity Type: Individual
Name: DR. Charles L Colip, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jun 10, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 10000 SE MAIN ST
Address 2: STE 203
City: Portland
State: Oregon
ZIP Code: 97216-2442
Phone: (503) 255-3054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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