Active NPI
Charles Kenneth Linehan, M.D.
- General Practice Physician
- Astoria, OR
National Provider Identifier
1356395412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD 05254
- Practice address
- 92659 Highway 202
Astoria, OR 97103-8522 - Phone
- (503) 325-3902
- Fax
- (503) 325-3902
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD 05254 | OR | Primary |
Addresses
Primary practice location
92659 Highway 202
Astoria, OR 97103-8522
Mailing address
92659 Highway 202
Astoria, OR 97103-8522
Phone (503) 325-3902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239848 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 05254 | OR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356395412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92659 HIGHWAY 202",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971038522",
"telephone_number": "503-325-3902",
"fax_number": "503-325-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92659 HIGHWAY 202",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971038522",
"telephone_number": "503-325-3902",
"fax_number": "503-325-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINEHAN",
"first_name": "CHARLES",
"middle_name": "KENNETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OR",
"license": "MD 05254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "239848",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.