| Dr Charlean Violet White, OD | |
|
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
| (503) 879-2236 | |
| (503) 879-5089 |
| Full Name | Dr Charlean Violet White |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689717993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2162T (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charlean Violet White, OD Po Box 338, Grand Ronde, OR 97347-0338 Ph: (503) 879-2236 | Dr Charlean Violet White, OD 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2236 |
Confederated Tribes Of The Grand Ronde Community Of Oregon Optometrist Medicare: Medicare Enrolled Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 | |
Mrs. Terri Knowles, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9615 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2097 Fax: 503-879-1644 |