Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD22016 | OR |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD22016 | OR |
NPI | 1083653679 |
---|---|
Provider Name | William C. Chapin |
First Address | Portland, OR 97292-0900 |
Second Address | Portland, OR 97216-2455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 27/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H60852 | (02) |