Individual
WILLIAM KENNETH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE OP05DC, PORTLAND, OR 97239-3011
(503) 494-5732
Mailing address
3181 SW SAM JACKSON PARK RD, OP05DC, PORTLAND, OR 97239-3011
(503) 494-1226
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD14915
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273860
—
OR
Enumeration date
09/20/2006
Last updated
07/10/2007
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