CHARLES MELVIN DUNGAN FNP NPI 1275278996

NPI Information

NPI: 1275278996
Provider Name: CHARLES MELVIN DUNGAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
691 MURPHY RD STE 107
MEDFORD, OR
ZIP 97504
Phone: (541) 789-6460
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Charles Melvin Dungan, FNP is a family nurse practitioner in Medford, OR with 2 years of experience. Charles Melvin Dungan, FNP NPI is 1275278996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

691 MURPHY RD STE 107
MEDFORD, OR
ZIP 97504-311
Phone: (541) 789-6460
Fax: (541) 789-6461

The NPI 1275278996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2022 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	200541311RN	OREGON	No
2	363LF0000X	Nurse Practitioner	Family	202210480NP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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