Individual
DR. WILLIAM K STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
885 MISSION ST SE, SALEM, OR 97302-6222
(503) 585-5585
(503) 399-1659
Mailing address
885 MISSION ST SE, SALEM, OR 97302-6222
(503) 585-5585
(503) 399-1659
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD13512
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060044831
RAILROAD MEDICARE
OR
05
—
283358
—
OR
Enumeration date
08/02/2005
Last updated
09/27/2011
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