Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles L Fitzsimons

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740541382

Charles L Fitzsimons is a Student in an Organized Health Care Education/Training Program in Lebanon, Oregon. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

100 Mullins Dr Ste A-1
Lebanon, OR 97355-3982
Phone: (541) 451-6920
Fax: (541) 451-6924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740541382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 30, 2012
Mailing address100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982

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