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NPI Code Detail

MEDICARE: DR. CHRISTOPHER KARGEL DO, MPH

MEDICARE: DR. CHRISTOPHER KARGEL DO, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDO177954OR

General Provider Information

NPI Number : 1053674317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER KARGEL DO, MPH
Provider Business Mailing Address
First Line : 3517 NW SAMARITAN DR STE 201
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-3769
Country : US
Telephone Number : 541-768-5142
Fax Number : 541-768-4995
Provider Business Practice Location Address
First Line : 280 S 1ST AVE
Second Line :
City : MILL CITY
State : OR
Zip : 97360-2324
Country : US
Telephone Number : 503-897-4100
Fax Number : 503-897-2673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2012
Last Update Date : 07/07/2021

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