Individual
WILLIAM MICHAEL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4660 PORTLAND RD NE, SUITE 107, SALEM, OR 97305-1684
(503) 390-6992
(503) 390-6992
Mailing address
4660 PORTLAND RD NE, SUITE 107, SALEM, OR 97305-1684
(503) 390-6992
(503) 390-6992
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067686
—
OR
Enumeration date
12/13/2006
Last updated
07/08/2007
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