Fife, William C

Fife, William C is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fife, William C can be contacted via phone (503) 216-4830.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Fax: (503) 216-4850
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23637 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A64029 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 73295 Arizona

Profile Details

NPI number 1366413486
LBN Legal business name Fife, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jun 19th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366413486 NPPES
Oregon MEDICAID 286621

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