Dr. Charles Elliott Lange, M.D.
Emergency Medicine in Roseburg, OR. Individual provider (NPI-1).
NPI number1881985802
StatusActive
Last updated in NPPESJul 2, 2015
Details
- NPI
- 1881985802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Elliott Lange
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2011
- Last updated
- Jul 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 167526 | OR | Yes |
Practice location
2700 Nw Stewart PkwyDept Of Emergency Medicine, Mercy Medical Center
Roseburg, OR 97471
Phone 541-677-4333
Mailing address
2700 Nw Stewart PkwyDept Of Emergency Medicine, Mercy Medical Center
Roseburg, OR 97471
Phone 541-677-4333
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