Individual
WILLIAM MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
503 RAILROAD ST, BROOKINGS, OR 97415-9043
(707) 954-8661
Mailing address
PO BOX 5299, BROOKINGS, OR 97415-0102
(541) 813-1797
(541) 813-1801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A7843
CA
207R00000X
Internal Medicine Physician
D024746
OR
207R00000X
Internal Medicine Physician
Primary
DO24746
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274898
—
OR
Enumeration date
07/14/2005
Last updated
02/18/2021
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