Charles Hodge, MNM

NPI 1073941365 · on the registry since 2013 · sole proprietor

Practice

Address: 825 Ne 20th Ave
Suite 330
Portland, OR 97232
Phone: (503) 290-1905
Fax: (503) 290-1925
Organisation at this address: Danmar, Inc.
Utopia Or Llc
Wevolve Clinic Llc
Care Calm Clinic Llc
Rejuvenate Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 66

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon