DR. Charlean Violet White, O.D.

NPI #1689717993 in Grand Ronde, Oregon

Provider Information

NPI Number: 1689717993
Entity Type: Individual
Name: DR. Charlean Violet White, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9605 GRAND RONDE RD
City: Grand Ronde
State: Oregon
ZIP Code: 97347-9712
Phone: (503) 879-2236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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