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Search › Oregon › 1041C0700X

Charla Wade

NPI 1952737462 · on the registry since 2013

Practice

Address
2210 N Eldorado Ave
Klamath Falls, OR 97601
Phone
(541) 883-1030
Fax
(514) 884-2338
Organisation at this address
Kyle R Johnson
Klamath Youth Development Center
Klamath Youth Development Center
Klamath Youth Development Center
Klamath Child & Family Treatment Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
530

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-15

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