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General NPI Number Information
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NPI Number | 1366413486
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Entity Type | Individual
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Provider Name | WILLIAM C FIFE MD
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 9205 SW BARNES RD
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City | PORTLAND
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State | OR
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Zip | 97225-6603
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Country | US
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Telephone | 503-216-4830
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Fax | 503-216-4850
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Provider Business Mailing Address
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Address Line | 9400 SW BARNES RD STE 307
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City | PORTLAND
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State | OR
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Zip | 97225-6658
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Country | US
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Telephone | 503-292-9108
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Fax | 503-292-0346
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E-18204
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA12611400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 73295
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23637
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A64029
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License Number State | CA
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