Healthcare Provider Details

I. General information

NPI: 1184643249
Provider Name (Legal Business Name): WILLIAM JAMES DELGADO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILLIAM J DELGADO M.D.

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 VILCOM CENTER DR STE 130
CHAPEL HILL NC
27514-1689
US

IV. Provider business mailing address

1793 13TH ST SE
SALEM OR
97302-2541
US

V. Phone/Fax

Practice location:
  • Phone: 984-205-9299
  • Fax: 919-401-1924
Mailing address:
  • Phone: 503-362-8385
  • Fax: 503-362-8435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberMD20951
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2026--00362
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberMD61532112
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: