Individual
WILLIAM THEODORE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2230 NW PETTYGROVE ST STE 210, PORTLAND, OR 97210-2659
(503) 223-6223
Mailing address
8030 SE CORA ST, PORTLAND, OR 97206-3336
(503) 929-5728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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