DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES THAYER WHITE JR., M.D.

Active

DR. CHARLES THAYER WHITE JR., M.D. is a Family Medicine healthcare provider located in PORTLAND, Oregon. NPI 1740485432 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORTLAND, OR

Registration Details

NPI Number
1740485432
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2007 (19.128190630485 yrs)
Last Updated
Mar 25, 2021
Licenses
MD151665 (OR)
MD151665 (OR)

Practice Information

Address
5330 NE GLISAN ST
STE 100
PORTLAND, OR, 972133069
Browse OR providers · Browse ZIP 97213
Phone
5032159700
Fax
5032159701
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Sports Medicine

Other Family Medicine Providers in PORTLAND, OR

Name Credential NPI
MELANIE J SMYTHE DO 1043214471
DR. BRYAN DEAN WALLS D.O. 1710982129
KAREN R COOPER D.O. 1487646238
MS. SHAUNA L ENSMINGER MD 1619960002
MARINA MEZEY MD 1346234606
JOHN TAKACS DO 1215921374
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.