SearchOregon163WC1500X

William Tice

NPI 1821274226 · on the registry since 2008 · sole proprietor

Practice

Address
438 Sw Court St
Dallas, OR 97338
Phone
(503) 623-5984

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon