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General NPI Number Information
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NPI Number | 1134236086
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Entity Type | Organization
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Legal Business Name | CHARLES M MAY MD PC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 801 MISSION ST SE
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City | SALEM
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State | OR
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Zip | 97302-6217
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Country | US
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Telephone | 503-399-0652
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Fax | 503-373-3852
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Provider Business Mailing Address
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Address Line | 801 MISSION ST SE
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City | SALEM
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State | OR
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Zip | 97302-6217
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Country | US
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Telephone | 503-399-0652
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Fax | 503-373-3852
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES M. MAY
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Credential | M.D.
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Telephone | 503-399-0652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 9251
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License Number State | OR
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