Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD151743 | OR |
NPI | 1033192075 |
---|---|
Provider Name | Dr. William H Treuhaft |
First Address | Portland, OR 97208-3777 |
Second Address | Tualatin, OR 97062-9762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2005 |
Last Update Date | 23/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0427685 | (05) | OH |
500642830 | (05) | OR |
CN1332 | RAILROAD MEDICARE (01) | OH |
D31202 | (02) | OH |
MD151743 | STATE LICENSE (01) | OR |