MEDICARE: DR. WILLIAM J MONSON MD

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	207L00000X	Anesthesiology Physician	MD15208	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	050053918	OTHER	OR	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235152653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM J MONSON MD

Provider Business Mailing Address
First Line	:	3973 CROISAN MOUNTAIN DR S
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-3645
Country	:	US
Telephone Number	:	503-559-0501
Fax Number	:

Provider Business Practice Location Address
First Line	:	3973 CROISAN MOUNTAIN DR S
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-3645
Country	:	US
Telephone Number	:	503-559-0501
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	04/24/2015

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Directions to “ DR. WILLIAM J MONSON MD” Practice Location

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