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

Charles Park, MD

Individual provider Surgery Physician · NPI 1972704096

Charles Park, MD is a General Surgery in Klamath Falls, Oregon. Qualified in 2006, 20 years ago. Practices with Sky Lakes Medical Center Inc, a 197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts, Ohio and Oregon.

Years since qualifying
20
Licensed in
MA, OH, OR
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2301 Clairmont Dr
Klamath Falls, OR 97601-7104
Phone: (541) 274-2345
Fax: (541) 274-6247
Show map & directions

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

Additional practice locations (1)

  • 234 Goodman St, Cincinnati, OH 45219-2364 — (513) 475-8787

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD227125 (OR)
Surgery Physician Taxonomy 208600000X · Licence 249748 (MA)
Surgery Physician Taxonomy 208600000X · Licence 35.126455 (OH)

Record details

NPI number1972704096
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address2865 Daggett Ave Fl 4, Klamath Falls, OR 97601-1106

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sky Lakes Medical Center Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Klamath Falls