Individual provider · Type 1 NPI

Charles Thayer White Jr., MD

Family Medicine Physician · Portland, OR

NPI number 1740485432 Active

Practice location

5330 NE Glisan St, Ste 100
Portland, OR 97213-3069

Call (503) 215-9700 Map

Fax (503) 215-9701

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD151665 (OR)
Sports Medicine (Family Medicine) Physician 207QS0010XMD151665 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1740485432

Charles Thayer White Jr., MD's National Provider Identifier is 1740485432, issued on Jun 20, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2021.