MEDICARE: DR. JEFFREY EDWARD MCWILLIAMS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	MD16561	OR

General Provider Information

NPI Number	:	1114920899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY EDWARD MCWILLIAMS M.D.

Provider Business Mailing Address
First Line	:	3433 CHELAN DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-9290
Country	:	US
Telephone Number	:	503-723-8321
Fax Number	:

Provider Business Practice Location Address
First Line	:	3433 CHELAN DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-9290
Country	:	US
Telephone Number	:	503-723-8321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	09/04/2009

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