Healthcare Provider Details

I. General information

NPI: 1912984238
Provider Name (Legal Business Name): WILLIAM ZINN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILLIAM LLOYD ZINN MD

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 NW SAMARITAN DR
CORVALLIS OR
97330-5472
US

IV. Provider business mailing address

PO BOX 745249
LOS ANGELES CA
90074-5249
US

V. Phone/Fax

Practice location:
  • Phone: 541-768-5111
  • Fax: 706-653-1162
Mailing address:
  • Phone: 800-475-3698
  • Fax: 706-653-1162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA05592600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC1-0026568
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number167074
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036.118397
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101241703
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD27825
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: