Provider Demographics
NPI:1275315681
Name:TURNER, CHARLES E II (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:E
Last Name:TURNER
Suffix:II
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 MALOY CIR
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-7160
Mailing Address - Country:US
Mailing Address - Phone:970-556-5926
Mailing Address - Fax:
Practice Address - Street 1:411 SE SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:OR
Practice Address - Zip Code:97378-1998
Practice Address - Country:US
Practice Address - Phone:503-843-2204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR274980225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist