Provider Demographics
NPI:1053674317
Name:KARGEL, CHRISTOPHER (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:KARGEL
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3517 NW SAMARITAN DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3769
Mailing Address - Country:US
Mailing Address - Phone:541-768-5142
Mailing Address - Fax:541-768-4995
Practice Address - Street 1:280 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:MILL CITY
Practice Address - State:OR
Practice Address - Zip Code:97360-2324
Practice Address - Country:US
Practice Address - Phone:503-897-4100
Practice Address - Fax:503-897-2673
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO177954207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine