Individual
WILLIAM WARREN CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 OAK ST SE STE 1080, SALEM, OR 97301-3977
(503) 561-5294
(503) 814-0457
Mailing address
PO BOX 391, SALEM, OR 97308-0391
(503) 814-5294
(503) 814-0457
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD 181142
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500722681
—
OR
01
—
MD181142
OR MEDICAL LICENSE
OR
01
—
R194126
MEDICARE PTAN OREGON
OR
Enumeration date
04/09/2012
Last updated
03/07/2023
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