Individual
WILLIAM C CLARIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 NE A ST, MADRAS, OR 97741-1844
(541) 475-4800
(541) 475-4805
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 475-4800
(541) 475-4805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11771
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11849148
CAQH ID
OR
05
—
239566
—
OR
Enumeration date
07/21/2006
Last updated
02/28/2017
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