Individual
DR. WILLIAM E HALSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 6TH ST STE C, LA GRANDE, OR 97850-2419
(541) 963-6715
(541) 962-7440
Mailing address
PO BOX 1005, LA GRANDE, OR 97850-1005
(541) 963-6715
(541) 962-7440
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD23424
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD23424
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287204
—
OR
Enumeration date
08/08/2006
Last updated
06/24/2008
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