MEDICARE: DR. CHARLES RAYMOND HAHN M.D.

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
1	207N00000X	Dermatology Physician	MD08295	OR

General Provider Information

NPI Number	:	1851712038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES RAYMOND HAHN M.D.

Provider Business Mailing Address
First Line	:	187 SW EASTMAN PKWY
Second Line	:	STE. #72
City	:	GRESHAM
State	:	OR
Zip	:	97080-7002
Country	:	US
Telephone Number	:	503-307-1363
Fax Number	:

Provider Business Practice Location Address
First Line	:	187 SW EASTMAN PKWY
Second Line	:	STE. #72
City	:	GRESHAM
State	:	OR
Zip	:	97080-7002
Country	:	US
Telephone Number	:	503-307-1363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2013
Last Update Date	:	05/10/2026

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