IndividualActive
Charles Jerabek
NPI 1558024687 · Perfusionist · Clackamas, OR
Provider details
- NPI number
- 1558024687
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
10810 Se Sunnyside Rd
Clackamas, OR 97015-9787
Phone: (503) 813-2000
Mailing address
11876 Little Creek Ln
Jacksonville, FL 32223-7101
Registry dates
- Enumerated
- 2021-10-15
- Last updated
- 2021-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.