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

Dr. Charles Thayer White Jr., MD

Individual provider Family Medicine Physician · NPI 1740485432

Dr. Charles Thayer White Jr., MD is a Family Practice in Portland, Oregon. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2007, 19 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
OR
In the registry since
2007
Specialties on file
2
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

5330 NE Glisan St Ste 100
Portland, OR 97213-3069
Phone: (503) 215-9700
Fax: (503) 215-9701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD151665 (OR)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence MD151665 (OR)

Record details

NPI number1740485432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY, SPORTS MEDICINE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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