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Contact Information

CHARLES R DIBB, MD
2828 E BARNETT RD
MEDFORD, OR97504-8342
 Phone: 541-774-5853
 Fax: 541-608-6632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLES R DIBB · (Male)

NPI # 1245286301
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 05/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD17987
  • OR Medicaid 046057
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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