Healthcare Provider Details

I. General information

NPI: 1013029222
Provider Name (Legal Business Name): WILLIAM E. BILJAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 01/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5814 GRAHAM AVE SUITE 100
SUMNER WA
98390-2728
US

IV. Provider business mailing address

5814 GRAHAM AVE SUITE 100
SUMNER WA
98390-2728
US

V. Phone/Fax

Practice location:
  • Phone: 253-863-4474
  • Fax: 253-863-4062
Mailing address:
  • Phone: 253-863-4474
  • Fax: 253-863-4062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00016345
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: