CHARLES T GONSOWSKI MD PC
Anesthesiologist Assistant at Daggett Ave, Klamath Falls, OR

License number
Oregon MD21155
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: CHARLES T GONSOWSKI M.D.
Title: PRESIDENT
Phone: (541) 882-1540
Address
Address
2865 Daggett Ave, Klamath Falls, OR 97601
National Provider ID: 1063422541
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES T. GONSOWSKI, M.D., PC

4900 Sunset Rdg Rd, Klamath Falls, OR 97601

Registration:
Aug 6, 1999
State ID:
70431185
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Sw&W Registered Agents, Inc,Kelly T Hagan 1211 Sw 5 Ave STE 1800, Portland, OR 97204 (Physical)

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