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Charles L Fitzsimons
Student in an Organized Health Care Education/Training Program in Lebanon, Oregon
NPI 1740541382

Charles L Fitzsimons is a Student in an Organized Health Care Education/Training Program based in Lebanon, OR. Charles L Fitzsimons practices in Lebanon, OR. The NPI Number for Charles L Fitzsimons is 1740541382 and holds a License No. (Oregon).

The current practice location address for Charles L Fitzsimons is 100 Mullins Dr, Lebanon, OR and can be reached out via phone at 541-451-6920 and via fax at 541-451-6924. You can also correspond with Charles L Fitzsimons through the mailing address at 100 MULLINS DR, LEBANON, OR - 97355-3982 (mailing address contact number: 541-451-6920).

Location: 100 Mullins Dr, Lebanon, OR, 97355-3982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740541382
Provider Name
Charles L Fitzsimons
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Mullins Dr, Lebanon, OR, 97355-3982
Phone Number
541-451-6920
Fax Number
541-451-6924
Provider Enumeration Date
05/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3982
Phone Number
541-451-6920
Fax Number
541-451-6924
person
Provider Business Mailing Address Details
Address
100 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3982
Phone Number
541-451-6920
Fax Number
541-451-6924
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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