Charles Roberts, PAC

NPI 1437166352 · on the registry since 2006

Practice

Address: 87983 Territorial Rd
Veneta, OR 97487
Phone: (541) 935-2200
Fax: (541) 935-6241
Organisation at this address: Icco, Llc
G Street Integrated Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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