Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | MD00047510 | WA |
Y | 207VX0201X | Gynecologic Oncologist | MD22081 | OR |
NPI | 1295716496 |
---|---|
Provider Name | Dr. William Edward Winter III |
First Address | Portland, OR 97227-1800 |
Second Address | Portland, OR 97227-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 14/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1034701 | (05) | WA |
241386 | (05) | OR |
I49722 | (02) | OR |