MEDICARE: WILLIAM DEBICCARI

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	101Y00000X	Counselor	R10565	OR

General Provider Information

NPI Number	:	1326757790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM DEBICCARI

Provider Business Mailing Address
First Line	:	5415 SW WESTGATE DR
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97221-2409
Country	:	US
Telephone Number	:	503-645-3581
Fax Number	:

Provider Business Practice Location Address
First Line	:	5415 SW WESTGATE DR
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97221-2409
Country	:	US
Telephone Number	:	503-645-3581
Fax Number	:

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

Provider Enumeration Date	:	11/15/2022
Last Update Date	:	02/06/2026

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Directions to “ WILLIAM DEBICCARI ” Practice Location

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