Provider Demographics
NPI:1497941918
Name:ALL WOMEN'S HEALTH PC
Entity Type:Organization
Organization Name:ALL WOMEN'S HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD.
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-387-6464
Mailing Address - Street 1:810 13TH STREET
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1210
Mailing Address - Country:US
Mailing Address - Phone:541-387-6464
Mailing Address - Fax:541-386-9322
Practice Address - Street 1:810 13TH STREET
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1210
Practice Address - Country:US
Practice Address - Phone:541-387-6464
Practice Address - Fax:541-386-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR66533184174400000X
207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR287912Medicaid
WA7092711Medicaid
OR287912Medicaid
ORR112299Medicare PIN
ORF90406Medicare UPIN
ORF35980Medicare UPIN
WA7092711Medicaid