Healthcare Provider Details
I. General information
NPI: 1497941918
Provider Name (Legal Business Name): ALL WOMEN'S HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2007
Last Update Date: 05/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
810 13TH STREET
HOOD RIVER OR
97031-1210
US
IV. Provider business mailing address
810 13TH STREET
HOOD RIVER OR
97031-1210
US
V. Phone/Fax
- Phone: 541-387-6464
- Fax: 541-386-9322
- Phone: 541-387-6464
- Fax: 541-386-9322
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 66533184 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHARLES
E.
CHAMBERS
Title or Position: OWNER/MD.
Credential: MD
Phone: 541-387-6464